Case Manager RN

5 days ago


Bristol, Pennsylvania, United States Lower Bucks Hospital Full time

**Overview of Lower Bucks Hospital**

Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Our hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery.

We are committed to our core values of quality, compassion and community. Our team of dedicated professionals is passionate about providing exceptional patient care and creating a positive work environment.

As a Registered Nurse - Case Manager at Lower Bucks Hospital, you will have the opportunity to work with a diverse patient population and develop your skills in case management, discharge planning, and nursing leadership. You will be responsible for ensuring that patients receive high-quality care and achieving seamless delivery of care.

Key Responsibilities:

  • Manage the quality and resource utilization of all patients admitted to the facility from admission through the continuum of healthcare services.
  • Promote cost containment while demonstrating leadership to integrate healthcare providers and achieve quality, clinical, and cost-effective outcomes.
  • Perform comprehensive admission and concurrent reviews of medical records for medical necessity, intensity of service, and severity of illness.

Requirements:

  • Minimum 5 years of experience as a Registered Nurse with a current state license and Grandfathered prior to April 1, 2015.
  • At least one year of experience in case management, discharge planning, or nursing management.
  • Familiarity with Milliman Criteria and InterQual Criteria preferred.
  • Excellent communication and problem-solving skills.

Estimated salary range: $65,000 - $90,000 per year, depending on experience.


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