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The RN Case Management is responsible for the effectiveness of the case management program at Medical Center, and is accountable for it’s outcomes to senior management. The CM is to build, maintain, and manage a case management duties that is adept and efficient at assertively managing patient cases through the continuum of care to achieve hospital clinical and financial outcomes as identified in its annual strategic and/or performance improvement plans.
.Minimum of 5 years experience as a RN Case Manager at an acute care community hospital.Perform UM/CM and discharge planning. A working knowledge of Medicare/Medicaid and all third party payors. Must know State and Federal rules and regulations in order to keep the department and the hospital complaint
Responsible for case management; RN/BSN; 5 years’ clinical work; 3-5 in management; supervises resource manager/UR nurse and social workers overseeing daily operations of UR/Discharge planning to ensure quality of work
Requirements Requires completion of a Registered Nursing degree. Current licensure as a Registered Nurse in the State. Current BLS certification.5 years or more of clinical nursing experience, at least two of which must be in case management, care management, or utilization review. At least three years of direct management experience in successfully managing a Care Management Department is required. Prior experience in program development, monitoring and evaluating programs for compliance with established standards and mandates, and effective utilization of community resources.
Job Code: csdomh717
Hospital Connection Network
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