Nurse Case Manager

1 week ago


Newark, Delaware, United States ChristianaCare Full time
Job Title: Registered Nurse Case Manager

We are seeking a skilled Registered Nurse Case Manager to join our team at ChristianaCare. As a key member of our Utilization Management team, you will play a vital role in ensuring the delivery of efficient and effective healthcare services.

Job Summary:

The Registered Nurse Case Manager will work collaboratively with our Utilization Management team, physicians, and other healthcare professionals to review medical necessity and appropriateness of care. You will be responsible for ensuring that patients receive the right care, in the right setting, at the right time.

Responsibilities:
  • Perform admission and concurrent review to identify medical necessity, level of care, and appropriateness of setting using established criteria and clinical guidelines.
  • Collaborate with primary nurses and other healthcare providers to ensure a multidisciplinary plan-of-care is in place to meet identified patient care needs and desired outcomes.
  • Manage observation level of care and work with attending physicians and/or clinical providers to ensure observation status does not exceed 48 hours.
  • Identify system issues that serve as barriers to care and participate in development and implementation of strategies to remove barriers and facilitate performance improvement measures.
  • Monitor efficiencies in scheduling diagnostic procedures and coordination of treatments to facilitate achievement of effective clinical, fiscal, quality, and patient satisfaction goals.
Requirements:
  • Active DE RN licensure or compact state RN licensure.
  • Bachelor's degree in nursing.
  • Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting.
  • Clinical documentation, performance improvement, case management, or utilization management experience desirable.
What We Offer:
  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and compassionate Registered Nurse looking for a challenging and rewarding role, please submit your application today.


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