Job Description
Description
In collaboration with the patient / family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner.
Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the patients' navigation through the acute care episode, and proposes an appropriate transition plan within 48 hours of admission.
The Case Manager serves as an advocate for the patient and family throughout the entire acute episode of care.
Education
Bachelors Degree : in Nursing (BSN) or combination of education and experience in lieu of with commitment to obtain BSN within 2 years from date of hire (Required)
Experience
1 Year experience in acute care Case Management setting or Utilization Management at an acute care facility and / or insurance company in either UR or CM. (Required)
General Experience with knowledge of theories, principles, and concepts related to nursing practice and strong leadership capabilities. (Required)
General Experience and knowledge of InterQual criteria (Preferred)
License / Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred)
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