RN Case Manager

2 weeks ago


Birmingham AL USA, United States Princeton Medical Center Full time
Job Summary

The RN Case Manager is a key member of our healthcare team, responsible for facilitating care along a continuum to ensure patients receive optimal health, access to care, and appropriate utilization of resources. This role requires effective resource coordination, assessment of patient needs, and promotion of timely throughput, safe discharge, and prevention of avoidable readmissions.

Responsibilities
  • Accurate medical necessity screening and submission for Physician Advisor review
  • Care coordination and 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 and 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
Physical Demands

Frequent sitting, moderate standing, walking, reaching, stooping, and bending. Manual dexterity, mobility, touch, auditory to perform all related duties of the position.


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