Case Manager RN

3 days ago


West Norriton, Pennsylvania, United States Suburban Hospital Full time
Job Title: Case Manager RN

At Suburban Community Hospital, we are seeking a skilled and compassionate Case Manager RN to join our team. As a Case Manager RN, you will play a vital role in ensuring the quality and resource management of all patients admitted to our facility.

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 seamless delivery of care.
  • Collaborate with healthcare providers to achieve quality, clinical, and cost-effective outcomes.
  • Provide education and support to patients and their families to promote self-management and empowerment.
Qualifications:
  • Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • Basic to intermediate computer skills required.
  • Behavioral Violence Prevention Training within 3 months of hire and maintain current.

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, sexual orientation, gender, gender identity, or other protected characteristics.


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