RN Case Manager-Per Diem

• Monitors patient care progress toward goals, makes recommendations and/or utilizes appropriate resources to optimize effective, efficient care progression and care plan goal achievement.
• Coordinates care transition from inpatient to next level of care.
• Performs admission and continued stay utilization reviews and discharge screening to assure the necessity of hospital admission, appropriate level of care, continued stay and supportive services, appropriate safe discharge/transition plan, and to examine delays in the provision of services.
• Collaborates with attending Physicians, Mid-level Providers or Department Medical Directors concerning status and/or medical necessity issues.
• When criteria is in question, escalates care for second level Physician review when Department Director is unavailable.

Required:

• Bachelor's of Science in Nursing
• 3-5 years of recent related acute care experience required.

Preferred:

• 1-2 years of Case Management and/or Utilization Review experience.
• Current Case Management certification of CCM or ACM.