RN Case Manager- OLG Region Case Management- PRN

About the role

This job handles multi-disciplinary communications and facilitations of care throughout a patient’s hospitalization, which includes a review of the appropriate utilization of resources, balanced with the patient’s right to self-determination.

Responsibilities

• Reviews patient hospitalizations, recommends a level of care that meets medically necessary hospital care criteria, and confirms a clear, specific level of care order and other appropriate documentation in the medical record.
• May discuss alternative care options with the Emergency Department (ED) physician or attending physician.
• Works as a liaison and communicates with the patient, caregiver, multi-disciplinary team members as well as post-acute and third-party payers.
• Collaborates with the care team to develop and implement discharge plans based on patient’s individualized needs.

Requirements

• Education Required - Graduate of an accredited school of nursing.
• Work Experience Preferred - Bachelor’s degree in nursing.
• Required - None.
• PREFERRED - 3 years of hospital-based experience in discharge planning, case management or utilization review.

Qualifications

• Certifications Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from the American Heart Association.
• PREFERRED - Certification in Case Management (CCM) or Accredited Case Manager (ACM).

Skills and Abilities

• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Strong interpersonal skills.
• Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability).

Benefits

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

Pay

N/A

Schedule

N/A