RN-Acute Care Case Manager

Job Summary

Manages the care for a specific population; facilitates the safe transition of

patients throughout the continuum of care for appropriate utilization of

resources, service delivery and compliance with federal and other payer

requirements. Provides early assessment of transitional needs identified during

their hospitalization, illness, and/or life situation. Performs other duties as

assigned.

Responsibilities

* Utilization Review

* Discharge planning

* Readmission Reduction Participation

* Payer Communication and denial reduction

* Completes assigned goals.

Specifications

Experience

Minimum Required

* RN with at least one (1) year of clinical experience

Preferred/Desired

* RN with 3 years of clinical experience with Case Management experience in a

hospital or payer setting

Education

Minimum Required

* Diploma or Associate Degree in Nursing

Preferred/Desired

* BSN or MSN

Training

Minimum Required

Preferred/Desired

* Certified Case Manager

Special Skills

*.

Minimum Required

* Critical thinking skills, communication, organization, interpersonal and

computer skills. Problem solving; and governmental regulations.

Preferred/Desired

* Critical thinking skills, communication, organization, interpersonal and

computer skills. Knowledge of payer requirements; problem solving; and

governmental regulations.

Licensure

* RN

Minimum Required

* RN

Preferred/Desired

* RN; CCM; ACM