Case Management - RN Case Manager

This is a part-time day shift, 32 hours per week position for an RN Case Manager with hospital background. Weekend rotation is required for every 4 th Saturday. We are in search of a Case Manager to enhance the quality of patient management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the full patient care cycle.

Qualifications

Currently licensed to practice in the State of Ohio as a Registered Nurse ASN required, BSN degree preferred Experience in case management is a plus Excellent knowledge of case management principles Effective communication skills Problem solving skills and ability to multi-task. Med/Surg/ICU experience Responsibilities: Case Manager duties include assessing, planning, implementing, monitoring, and evaluating actions required to meet the client’s health and discharge services needed.

Coordinate and provide care that is safe, timely, effective, efficient, equitable and client centered. Arrange services necessary for a safe discharge ie: home health, SNF, outpatient services. Handle case assignments, review cases daily and provide concurrent review Submit necessary cases to the appropriate insurance company for authorization of stay.

Develop effective working relations and cooperate with medical team throughout the entire case management process. Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction. Record case information; complete accurately all necessary forms/documentation. Promote quality and cost-effective interventions and outcomes.

Ability to multi-task, problem solve with excellent written and verbal skills. Ability to work effectively in a self-directed role. Prior authorizations Run daily reports. Communicate with insurance companies to obtain authorization for proper reimbursement. Adhere to professional standards as outline by protocols, rules, and regulations.

All other tasks as assigned.