Case Management

Facilitates progress through the continuum of care, from Pre-Admission through Discharge; Provides feedback to payors on patient's clinical status and secures approvals for additional days of stay; Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators; Evaluates patients for discharge planning needs and appropriately directs the patient's care; Monitors resource consumption for most effective use; Identifies teaching and psychosocial concerns for the best patient outcomes; assists in aggregating data for quality trending; assists in Infection Control surveillance; functions as a Patient Advocate to assist patients in resolving concerns

Graduate of an accredited school of Nursing

Previous experience in case management preferred, Certification preferred but not required

Current RN license required

Insurance knowledge

Excellent phone skills

Acute care experience

2-5 years in case management preferred

3-5 years nursing experience preferred