Nurse Case Manager

4 weeks ago


Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full time

Job Title: Case Manager RN

Job Summary:

Roxborough Memorial Hospital is seeking a skilled Case Manager RN to join our team. As a Case Manager RN, you will be responsible for the quality and resource management of all patients admitted to the facility. You will work on behalf of the advocate, promoting cost containment and demonstrating leadership to integrate healthcare providers to achieve seamless delivery of care.

Responsibilities:

• Conduct comprehensive admission and concurrent reviews of medical records to ensure medical necessity, intensity of service, and severity of illness.

• Develop and implement individualized care plans to achieve quality, clinical, and cost-effective outcomes.

• Collaborate with healthcare providers to ensure seamless delivery of care and promote cost containment.

• Maintain accurate and up-to-date records of patient information and care plans.

Qualifications:

• Current state Registered Nurse license.

• Minimum 5 years of work experience post-graduation of an accredited school of nursing.

• Five years of acute care nursing experience preferred.

• At least one year of experience in case management, discharge planning, or nursing management preferred.

• Current BCLS certificate preferred.

• Knowledge of Milliman Criteria and InterQual Criteria preferred.

What We Offer:

Roxborough Memorial Hospital offers a competitive salary and benefits package, as well as opportunities for professional growth and development.


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