Case Manager Acute Care

About the role

Facilitates coordinates and manages an assigned caseload to promote evidence-based clinical-focused outcomes.

Manages utilization management supporting medical necessity, determine appropriate level of care and resource utilization, and evaluates the need for services for continuity of care and denial prevention.

Assesses, evaluates, and coordinates for safe and appropriate discharge planning needs in compliance with state and federal regulatory requirements, TJC accreditation standards, and policies.

Responsibilities

• Facilitates and coordinates an assigned caseload to promote evidence-based clinical-focused outcomes.
• Manages utilization management, supporting medical necessity, determining appropriate level of care, and resource utilization.
• Evaluates the need for services for continuity of care and denial prevention.
• Assesses, evaluates, and coordinates for safe and appropriate discharge planning needs in compliance with state and federal regulatory requirements, TJC accreditation standards, and policies.

Requirements

• Two years of acute care experience.

Qualifications

• Essential Education: Associate degree in Nursing from an accredited school of nursing.
• Essential Education Specialization: Nursing program.

Skills

• Registered Nurse-LIC.
• Basic Life Support.

Benefits

• Retention Bonus: $10,000 - 1 year of experience required.

Pay

• Shift 1 FTE: 1.000000.

Schedule

• Shift 1.