Registered Nurse, RN, Case Management
Job Posting for Registered Nurse, RN, Case Management at Grand View Health
Schedule: Full Time, 8:30am-5pm
Responsibilities
The Patient Care Coordinator is responsible for the overall coordination of care for an assigned caseload. Conducts concurrent and retrospective clinical review of inpatient medical records to evaluate the utilization of acute care services. Specific reviews are determined both internally and by requirements/requests of external payers or regulatory agencies and play a significant role in obtaining reimbursement for acute care services. The goal is to collaborate with patients, families and healthcare providers to promote health and manage illness. The Patient Care Coordinator facilitates the use of assessment, coordination and education to achieve quality patient care outcomes while coordinating interdisciplinary, comprehensive and cost-effective care across the continuum.Needs knowledge of utilization review, case management, DC planning, care coordination and precertification of hospital days and post-acute care services. Prefer 3-5 years of acute care hospital experience and 2 years of acute care case management experience.
Qualifications
EDUCATION AND EXPERIENCE:- Associate's degree in Nursing required.
- Over 3 to 5 years of experience.
- 3 years of acute care experience preferred.
LICENSES AND CERTIFICATIONS:
- Registered Nurse in PA - licensed, upon hire, required.
BENEFITS:
- Medical, free dental, vision insurance for full time and part time
- 403B
- Pension plan
- On-site discounted child care center
- Tuition reimbursement up to $5250 per year
- Free life insurance
- Free parking
- Paid time off
- Sick time
- Flexible spending accounts
- Employee referral bonus
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