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RN-Case Manager

Responsible for the coordination and daily operations of the quality management process. Monitors care of patients within case groups to ensure high quality and cost effective care is provided. Works with other hospital personnel to assure appropriate and timely discharge planning.

Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status andappropriateness of medical care, including admission, length of stay, transfer and discharge.

Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.

Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.

Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.

Reports to: Director of Case Management




Minimum Education

Graduate of a Program in Discipline - RequiredGraduate from an accredited school of nursing. BSN preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Certifications:
Basic Life Support (BLS) - to be obtained within 30 days

Minimum Work Experience

Two years recent related clinical experience preferred in Utilization Review, Quality Improvement and Case Management preferred.


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Posted
09/12/2021
Location
Beckley, WV 25801, US