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The purpose of the RN Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work Case Manager. The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, Application of process improvement methodologies in evaluating outcomes of care, Coordinating communication with the healthcare team, patients, families and post-acute care services, Readmission screening and prevention. Estimated salary range for this position is $73860.80 - $96019.04 / year depending on experience.
Job Responsibility
Support the physician and interdisciplinary team in facilitating patient care
Enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care
Integrate and coordinate care facilitation and discharge planning functions
Work in partnership with the UR RN and Social Work Case Manager
Manage the length of stay (LOS) and promote efficient utilization of resources
Remove barriers to timely and efficient care delivery and reimbursement
Apply process improvement methodologies in evaluating outcomes of care
Coordinate communication with the healthcare team, patients, families and post-acute care services
Readmission screening and prevention
Requirements
Associates degree
Registered Nurse license
3 years of hospital clinical experience
1-3 years of hospital or payor Case Management experience preferred
Excellent interpersonal communication and negotiation skills
Strong analytical, data management and computer skills
Current working knowledge of discharge planning, utilization management, case management and performance improvement preferred
Understanding of pre-acute and post-acute venues of care and post-community resources preferred
Strong organizational and time management skills
Ability to work independently and exercise sound judgment
Nice to have
1-3 years of hospital or payor Case Management experience
Current working knowledge of discharge planning, utilization management, case management and performance improvement
Understanding of pre-acute and post-acute venues of care and post-community resources
What we offer
Career growth and development opportunities
Comprehensive health and wellness resources
Wellness program that can help employees eliminate their medical plan deductible