Healthcare Manager

4 weeks ago


Paterson, New Jersey, United States Prime Healthcare Management Inc Full time

Overview

Prime Healthcare Management Inc is a leading health system with a strong commitment to quality patient care. We are seeking a skilled Nursing Case Manager to join our team.

Responsibilities

The successful candidate will be responsible for the quality and resource management of all patients admitted to our facility. This will involve promoting cost containment, demonstrating leadership to integrate healthcare providers, and achieving seamless delivery of care.

The Nursing Case Manager will also be responsible for performing a holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.

Qualifications

  • Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
  • Five years acute care nursing experience preferred
  • At least one year experience in case management, discharge planning or nursing management, preferred
  • Current BCLS certificate, preferred
  • Knowledge of Milliman Criteria and InterQual Criteria preferred
  • Experience and knowledge in basic to intermediate computer skills

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