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Philadelphia, Pennsylvania, United States Roxborough Memorial Hospital Full timeOverview:Roxborough Memorial Hospital, a member of Prime Healthcare, is seeking a skilled Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the quality and resource management of all patients admitted to our facility.With a strong focus on quality, compassion, and community, we are committed to...
Registered Nurse Case Management Specialist
2 months ago
Overview
Become part of a distinguished team of dedicated professionals who embody our core values of excellence, empathy, and community engagement. Roxborough Memorial Hospital, a proud member of Prime Healthcare, provides remarkable opportunities to broaden your career while contributing to a community focused on impactful healthcare.
As a 131-bed community hospital, Roxborough Memorial Hospital has been meeting the medical and health care needs of the surrounding communities for over a century, having first opened its doors in 1890.
Our School of Nursing has been shaping the future of nursing since 1898, and we are accredited by the Joint Commission on the Accreditation of Healthcare Organizations, the oldest and largest hospital accreditation body in the nation.
We are an Equal Opportunity Employer and do not discriminate against applicants based on veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you require special accommodations during the application process, please reach out to Human Resources.
Know Your Rights:
Responsibilities
$15K Retention Bonus for Full-Time Employees
As a Case Management Specialist, you will oversee the quality and resource management of all patients admitted to our facility, ensuring excellence from the point of admission through the entire continuum of healthcare management.
Your role will involve advocating for patients, promoting cost-effective care, and demonstrating leadership to seamlessly integrate healthcare providers for optimal patient outcomes.
This position is designed to facilitate and ensure the achievement of quality, clinical, and cost-effective results, performing comprehensive admission and concurrent reviews of medical records to assess medical necessity, service intensity, and illness severity.
QualificationsEDUCATION, EXPERIENCE, TRAINING
- A minimum of 5 years of professional experience post-graduation from an accredited nursing program and a current state Registered Nurse license.
- For those grandfathered prior to specific criteria, a minimum of 5 years post-graduation from an accredited School of Social Work for Licensed Clinical Social Workers is acceptable, although RN Case Manager is preferred.
- Five years of acute care nursing experience is preferred, with at least one year in case management, discharge planning, or nursing management.
- Current BCLS (AHA) certification upon hire and maintenance of certification is required.
- Familiarity with Milliman Criteria and InterQual Criteria is preferred.
- Basic to intermediate computer skills are necessary.
- Behavioral Violence Prevention Training must be completed within three months of hire and maintained thereafter.
