The RN Case Manager is responsible for facilitating care along a continuum, coordinating resources to help patients achieve optimal health and access to care, and ensuring that care is provided at the appropriate level of care based on medical necessity.
Requirements
- accurate medical necessity screening and submission for Physician Advisor review
- care coordination
- transition planning assessment and reassessment
- leading and facilitating multi-disciplinary patient care conferences
- collaborating with physicians, office staff and ancillary departments
- leading and facilitating Complex Case Review
- assuring patient education is completed to support post-acute needs
- timely complete and concise documentation in Case Management system
- maintenance of accurate patient demographic and insurance information
- identification and documentation of potentially avoidable days
- identification and reporting over and underutilization
Benefits
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program