Registered Nurse Case Management

About the role

The position involves managing patient care transitions within a hospital setting, ensuring appropriate and timely care, advocating for benefits, and coordinating safe discharges to reduce readmissions.

Responsibilities

• Ensure patient-centered care by validating medical necessity and facilitating smooth transitions.
• Optimize organizational revenue by preventing claim denials and managing appeals.
• Enhance operational efficiency through collaboration with multidisciplinary teams and resource allocation.
• Maintain compliance with clinical standards and regulatory requirements to mitigate risks.

Qualifications

• Licensed Registered Nurse with a professional license at hire.
• 5+ years RN experience and 3+ years in Case Management, with hospital discharge planning experience preferred.

Skills

• Preferred certification as a Case Manager (CCMC or ACM).

Benefits

The role offers comprehensive benefits supporting health, financial security, professional development, and well-being in an inclusive environment.