Job Description

Certification Details

• BLS
• Current RN License

Job Details

• Facility – Riverside Community Hospital
• Start Date - asap
• Cost Center - 93327
• Unit – Case Management
• Shift – 8:00AM-5:00PM
• Assignment Length – 13 Weeks
• MUST HAVE RECENT ACUTE CASE MANAGEMENT EXPERIENCE

Job Requirements

• Current RN License
• CCM preferred
• Bachelor’s Degree preferred
• Minimum of one year acute care or payer case management
• Utilization management experience required
• Minimum of three years of acute care nursing required
• Proficiency with information systems and computer systems; MIDAS preferred
• Understanding of utilization management, case management, health care financing, alternative care options, goals, outcomes, regulatory and professional implications of practice

Schedule Information

• Shift – 8:00AM-5:00PM
• Assignment Length – 13 Weeks

Unit Specific Information

• Case Manager promotes quality and cost effective outcomes
• Emphasis is on care coordination, communication, and collaboration with nursing, physician, departments within the facility, insurers and post-acute service providers to pace the care toward optimal outcomes within the appropriate level of care
• The Case Manager consistently conducts the utilization review process on those patients who require it, and the discharge planning process as required by hospital policies, standards of practice, and Federal and State regulations

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