RN Case Manager

2 weeks ago

Norwalk, Connecticut, United States Norwalk Hospital Association Full time
Job Summary

We are seeking a highly skilled and experienced RN Case Manager to join our team at Norwalk Hospital Association. As a Clinical Care Coordinator, you will play a critical role in ensuring the efficient progression of care for patients in the Emergency Department.

Key Responsibilities
  • Manage the Utilization Review process for patients requiring hospitalization, ensuring the correct level of care and optimal initial care plan.
  • Make recommendations for Bed Request orders based on thorough review of clinical information and evidence-based screening criteria.
  • Collaborate with Social Work Care Coordinators to develop optimal plans of care for discharge.
  • Analyze clinical, financial, and social situations to identify problems and establish alternative courses of action.
  • Perform rounding with ED team members to ensure appropriate case identification and planning discussions.
  • Advise and educate patients and families on hospitalization guidelines and discharge planning options.
  • Issue required regulatory notices, such as Condition 44 and HINN, as necessary.
  • Offer suggestions for improving performance and operations.
  • Guide and direct the healthcare team to ensure optimal outcomes.
  • Monitor ED throughput and assist in facilitating testing and procedures.
Requirements
  • Registered Nurse license in the State of CT with a minimum of one year of acute care experience.
  • Associate's Degree in Nursing.
  • Knowledge and expertise in electronic medical records and experience with Interqual and Milliman screening criteria.
  • Excellent collaboration and communication skills.
Preferred Qualifications
  • Certification in Case Management.
  • Bachelor's Degree in Nursing.
Work Environment

This position requires a medium to heavy effort, with the ability to exert up to 35 pounds of force. The work environment is generally pleasant, with some manual skills and motor coordination required.

We are an equal opportunity employer and welcome applications from diverse candidates. If you require reasonable accommodation to complete this application or participate in an interview, please contact Human Resources at [insert contact information].

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