Patient Care Resource Manager - Outpatient

Overview

The Patient Care Resource Manager (PCRM) is a nurse case manager that facilitates patients through the health care system from pre-admission through post-discharge coordination of care, resources and services using the nursing process. The PCRM monitors and coordinates the patient plan of care to enhance the timeliness of patient care decisions and throughput and to enhance care quality and efficiency and ensure efficient resource utilization.

The PCRM identifies and removes barriers to progression of the plan of care for each patient. The PCRM collaborates with physicians, nurses and other health care workers to manage the patient transition to the next level of care. The PCRM is the central information source for third party payers, communicating the plan of care, medical necessity, and gaining approval for post discharge care.

The PCRM, through the use of evidence-based criteria, assists the physicians in ensuring the appropriate level of care for each patient.

• Facilitate patients through the health care system from pre-admission through post-discharge coordination of care, resources, and services using the nursing process.
• Monitor and coordinate the patient plan of care to enhance timeliness of care decisions and throughput, and to improve care quality, efficiency, and resource utilization.
• Identify and remove barriers to progression of the plan of care for each patient.
• Collaborate with physicians, nurses and other health care workers to manage the patient transition to the next level of care.
• Serve as the central information source for third-party payers, communicating the plan of care and medical necessity and gaining approval for post-discharge care.
• Assist physicians in ensuring the appropriate level of care for each patient using evidence-based criteria.

Bachelor's Level Degree or equivalent combination of education and experience.

• Bachelor’s degree;
  Master’s preferred.
• RN licensure required.
• Five years of recent clinical experience applicable to the population preferred.
• Knowledge of clinical practice guidelines, computer databases, and payer protocols desired.

FUNCTION:
Care Management

SUB-FUNCTION:
Nursing Case Management

CAREER BAND:
Individual Contributor - Clinical

CAREER LEVEL:

C2

This position is for an Outpatient Float role, and is an 80% FTE.

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Thank you for your interest in working at Ohio State.

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.