RN Case Manager

Job Description:

· Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience.

· This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker, and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admission or readmissions.

· The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination.

· The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self-determination while coordinating in a timely and integrated fashion.

· He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third-party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources.

· If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently to avoid unnecessary admissions.

Requirements:

• CA RN Licensure
• 2 years of Case Management experience
• Utilization Management experience in working with attending physicians supporting level of care protocols

Associate

Contract

Health Care Provider

Staffing and Recruiting, Hospitals and Health Care, and Public Health