RN Care Coordinator-Complex Case Manager

About the role

A RN Care Coordinator-Complex Case Manager is needed in the Care Management department. The schedule is full-time from 10am-6pm. Three to five years of diversified clinical experience is required, with certification preferred.

Responsibilities

• Understand confidentiality and legal/ethical issues related to patient health
• Assess individual’s physical/mental impairment levels
• Evaluate quality of necessary medical services and costs
• Develop treatment plans and goals
• Access and evaluate available resources to meet client needs
• Partners with post-acute facilities to facilitate patient transitions
• Propose solutions to senior leadership for patients with complex dispositions and potential insurance barriers
• Document care management services
• Exercise independent judgment in interactions with physicians, payers, and patients/families
• Partner with post-acute facilities to move patients to appropriate care levels

Requirements

• Minimum of 2 years of previous experience involving judgment and decision making, preferably in a utilization management/case management position
• Minimum of 3-5 years recent clinical experience required, and 1-3 years of recent acute, Inpatient Care Management experience required
• Knowledgeable on accessing and evaluating available resources to meet client needs
• Strong organizational and time management skills, as evidenced by the ability to prioritize multiple tasks and role components

Skills

• Excellent interpersonal, verbal, and written communication and negotiation skills
• Strong analytical, data management, and PC skills
• Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement
• Understanding of pre-acute and post-acute venues of care and post-acute community resources
• Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families

Pay

$85,176.00 - $196,747.20

Schedule

Full Time, 10am-6pm

Benefits

The hospital offers a comprehensive benefits package including medical, dental, vision, pharmacy, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer

Equal opportunity employer. Disability/Veteran.