RN Case Manager

POSITION SUMMARY

Assume primary responsibility of cases for documentation of appropriate medical necessity for the inpatient and/or observation status in the acute hospital setting.

DUTIES AND RESPONSIBILITIES

• Communications with physician, ancillary staff, and payers and assists in arranging transfers or alternate placement when indicated
• Assures proper level of care assignment.
• Facilitates with Case Managers and other allied health professionals to promote and ensure that quality care is provided, and outcomes are achieved in a timely and cost-effective manner
• Supports hospital goals and objectives in compliance with regulatory guidelines
• Works in collaboration with all healthcare disciplines to assure a continuum of appropriate and timely services
• Assess appropriateness, quality, and cost effectiveness of proposed hospital, medical and corporate goals and objectives

EXPERIENCE AND EDUCATION

• Prefer a minimum of four years' experience in hospital setting
• One-year experience in utilization management/case management is preferred
• Case Manager must be a graduate of an accredited school of Nursing, Health Information Management, or Social Work
• RN preferred