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Case Manager RN

2 months ago


Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full time
Job Title: Case Manager RN

About the Role:

Roxborough Memorial Hospital is seeking a skilled Case Manager RN to join our team. As a Case Manager RN, you will be responsible for ensuring the quality and resource management of all patients admitted to the facility.

Key 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 promote cost containment and achieve quality, clinical, and cost-effective outcomes.
  • Collaborate with healthcare providers to integrate care and achieve seamless delivery of services.
  • Provide education and support to patients and families to promote self-management and empowerment.

Requirements:

  • Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  • Experience in case management, discharge planning, or nursing management is preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria is preferred.
  • Basic to intermediate computer skills are required.

What We Offer:

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

How to Apply:

Interested candidates should submit their application, including a cover letter and resume, to [insert contact information].