RN Case Manager (PT Weekends) - Seacoast
Responsibilities
- Oversees the process of care delivered to patients, works collaboratively, and provides leadership to the healthcare team.
- Affirms the plan of care and services provided are patient focused, high quality, efficient and cost effective.
- Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with the physician.
- Makes sure all elements critical to the plan of care have been communicated to the patient/family as well as members of the healthcare team.
- Covers various populations across the organization, including the Emergency Department.
Qualifications
- Previous Case Management Experience Is Required.
- Data entry/computer experience required.
- RN license is required.
About the role
The Case Manager oversees the process of care delivered to patients, works collaboratively, and provides leadership to the healthcare team, and is committed to organization goals.
This role includes examining records for medical treatments and interventions to avoid payment denial resulting in optimization in reimbursement by assessing appropriateness of treatments, effectiveness, timing, and setting.
The Case Manager coordinates/facilitates patient care progression throughout the continuum of care, monitors length of stay and ancillary resource use on an ongoing basis and takes actions to achieve continuous improvement in both areas.
The Case Manager communicates information to the Utilization Management or Case Management team to aid in appropriate level of care determination and reimbursement by third party payors as well as working closely with Physician Advisory team on concurrent denials to ensure most appropriate level of care prior to billing.
The Case Manager serves as patient advocate to ED population by identifying needs, coordinating services and resources for the management of complex patients to facilitate quality care and cost-efficient outcomes.
Schedule
Shift is Saturday and Sunday, part-time.
Pay
N/A