The Case Manager RN Case Management will be responsible for coordinating the healthcare needs of patients in the Hospital by collaborating with members of the interdisciplinary Patient Care Team and the Primary Care Physician on the in-hospital and post discharge plan of care.

Job Description:

The Case Manager RN Case Management will perform all or some of the following Job description:

• Coordinate the care and services of the Company Medical Center patient population across the continuum of illness

• Assume responsibility for utilization management and monitoring process

• Conduct admission and continued stay review on groups of patients, in accordance with the PRO, special negotiated PPO and/or HMO contracts, and on other classifications of patients as designated by the Utilization/Case Management Review Plan

• Coordinate patient care, in conjunction with the medical, nursing and other ancillary staff members

• Identify trends and patterns of resource use and patient care, and make recommendations in compliance with established policy and procedure

• Ensure continuity of care for those patients with post-hospital health care needs and maximize the patient’s and family’s abilities to meet the continuing care needs within their social and financial framework

• Use an understanding of principles of growth and development to assess each patient’s age specific needs and provide age specific treatment and care.

• Minimum of 2-3 years experience in a hospital setting

• Minimum of one year experience in Case Management/Utilization Management or Home Care.