RN Manager for Case Management Full Time
- Job ID 2005012034
- Date posted 03/24/2020
- Facility John F. Kennedy Memorial Hospital
The individual in this position has overall responsibility for
coordinating the daily activities of the case management team, while overseeing
the clinical plan of care to conform with evidence-based practice and/or
regulatory/payor requirements. This position integrates functions
typically considered to be case management, care coordination and/or
utilization management, and discharge planning assessment and coordination.
As such, the individual s responsibilities will include, but not
be limited to the following activities: 1. Coordination of clinical
care (medical necessity, appropriateness of care and resource utilization for
admission, continued stay, discharge and post-acute care) compared to
evidenced-based practice, internal and external requirements. 2. Identify
and report variances in appropriateness of medical care provided, over/under
utilization of resources compared to evidenced-based practice and external
requirements. This priority includes work with relevant software and communicating
information through clear, complete and concise documentation in CM
software. 3. Effective collaboration with physicians, nurses,
ancillary staff, payors, patients and families to achieve optimum clinical
outcomes. 4. Remain current with relevant clinical / case management
practices. 5. Daily operational oversight and supervision of Departmental
Required: Active Registered Nurse license
Preferred: Bachelor of Science in Nursing (BSN)
Required: Two (2) years acute hospital case management, healthcare
or leadership experience. McKesson InterQual experience preferred.
Five years (5) acute hospital case management experience preferred.
Preferred: Accredited Case Manager (ACM)
Preferred: Bachelor of Science in Nursing (BSN) preferred.
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