Jobgraze
The RN Case Manager NE is responsible for the clinical and financial outcomes for an assigned caseload of patients. The Case Manager facilitates patient care during the hospitalization by managing, coordinating, and monitoring resource utilization to achieve optimal clinical outcomes and financial goals. The Case Manager is responsible to proactively plan, coordinate and negotiate efficient patient movement throughout the continuum of care. Performs all other job duties as assigned. Required to be on call as scheduled by the department.
Roles Responsibility
Assesses patient from clinical, social, financial perspective and coordinates post-discharge needs with care team, Functions as a clinical and financial resource for patients and interdisciplinary team members, Assists in clinical data collection utilizing established criteria and the InterQual system, Proactively performs utilization review; communicates coverage information with third party payers, medical staff and clinical providers. Desired Qualification
N/A Type
PRN as needed
