Case Manager, Registered Nurse

About the role

Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and intervention for the high‑risk patient presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex health needs.

Responsibilities

• Coordinate utilization management
• Coordinate resource management
• Coordinate discharge planning
• Coordinate post‑acute care referrals
• Coordinate care facilitation
• Oversee management of acute patient populations across the care continuum
• Provide coordinated and integrated care to prevent unnecessary admissions or readmissions
• Provide discharge planning coordination and intervention for high‑risk patients presenting to the Emergency Department