DEPARTMENT DESCRIPTION :
Inpatient Case Management provides psychosocial assessments, evaluations, and referrals for adults, and / or families with psychiatric illness, substance abuse, and medical illness.
Casework or therapy takes place in the hospital setting.
Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the delivery of effective and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation.
The RN Case Manager will collaborate with other members of the health care team to identify appropriate utilization of resources and to ensure reimbursement.
Utilize criteria to confirm medical necessity for admission and continued stay. With the patient, family and health care team, create a post-acute care plan appropriate to the patient's needs and resources and facilitate this transition in concert with that patient's inpatient and post-acute care teams.
Qualifications / Requirements :
- BSN preferred
- Current MA RN Licensure
- Current AHA (American Heart Association) or ARC (American Red Cross) BLS Provider Certification required
- Licensure and Certifications :
- Certification in Case Management preferred
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