RN Case Manager

4 days ago

Birmingham AL USA, United States Princeton Medical Center Full time

Job Summary

The RN Case Manager 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
  • Active RN license for state(s) covered

Physical Demands

  • Lift/position up to 25 lbs.
  • Push/pull up to 25 lbs. of force
  • Frequent sitting
  • Moderate standing, walking, reaching, stooping, and bending
  • Manual dexterity, mobility, touch, auditory to perform all the related duties of the position

Equal Employment Opportunity

Princeton Medical Center is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity and promotes equal opportunities for all employees.

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