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RN Case Manager Part Time Days Position Summary
4 weeks ago
About the Role:
The RN Case Manager Part Time Days is responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.
Key Responsibilities:
- Accurate medical necessity screening and submission for Physician Advisor review
- Care coordination
- Transition planning assessment and reassessment
- Implementation or oversight of implementation of the transition plan
- Leading and facilitating multi-disciplinary patient care conferences
- Managing concurrent disputes
- Making appropriate referrals to other departments
- Identifying and referring complex patients to Social Work Services
- Communicating with patients and families about the plan of care
- Collaborating with physicians, office staff and ancillary departments
- Leading and facilitating Complex Case Review
- Assuring patient education is completed to support post-acute needs
- Timely complete and concise documentation in Case Management system
- Maintenance of accurate patient demographic and insurance information
- Identification and documentation of potentially avoidable days
- Identification and reporting over and underutilization
Requirements:
- Graduate of an accredited school of nursing
- 2 years of acute hospital patient care experience
- Preferred: Acute hospital case management experience
- Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered
- Preferred: Accredited Case Manager (ACM)
About Abrazo Health Network:
Abrazo Health Network is a healthcare organization that believes in the power of genuine relationships and heartfelt compassion. We are committed to providing an environment that enriches and rewards your journey as a healthcare professional.
Why Join Us:
At Abrazo Health Network, you'll find a community that uplifts and supports each other every day. We're dedicated to caring for our community with unwavering commitment, and we're looking for talented individuals like you to join our team.
