RN CASE MANAGER
About the role
Responsible for analyzing medical records for the preparation of attestments used in billing and responsible for determining the appropriate level of care, quality care delivered and resource management.
Responsibilities
- Analyze patient’s medical record for proper utilization of resources (beds and services) and accurate payment.
- Develop the hospital database for case management and severity implications.
- Analyze patient’s charts for quality of services rendered and intervene to assure the delivery of quality care.
- Communicate to patient and/or patient’s family as necessary regarding the medical necessity of hospital stay.
- Communicate to appropriate departments to accurately determine level of care at discharge as well as participate in discharge planning.
Requirements
- Bachelor’s Degree in Nursing.
- Minimum of five years’ job-related experience or equivalent.
- Active RN license.
About Us
Care New England Health System (CNE) and its member institutions—Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group—is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts top specialty-trained doctors, hones renowned services and innovative programs, and engages in important discussions about health and end-of-life wishes. Care New England is helping to transform the future of health care and provide a leading voice in ensuring the health of individuals and communities.