Case Manager (RN)
Company: WMC Health Network
Location: Port Jervis
Posted on: February 11, 2025
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Job Description:
The Case Manager (RN) is responsible for implementing and
supervising the day-to-day operations of the Case Management
programs at Bon Secours Charity Health System. This position
manages activities necessary to ensure appropriate utilization of
the Hospital and its resources while maintaining optimal standards
of patient care.RESPONSIBILITIES: Oversees the patient assessment
process within the Case Management department to identify
pertinent/potential patient problems. Addresses needs of the
patients through direct interaction with the staff, physicians,
patients, and families including screening/reviewing of the
patients medical records. Determines appropriateness of admission
and severity of illness compared to pre-established criteria
standards utilized by all third party payors. Monitors the
collaboration with multidisciplinary care management team regarding
the individualization of the patient care plan in order to promote
efficient use of hospital resources, facilitate timely discharges,
and promote quality care. Oversees the collection of clinical data,
based on predetermined quality and outcome indicators developed by
the medical staff, case management director and administration.
Provides orientation/mentoring to staff, completes scheduling, and
evaluations within the Case Management department. Performs other
related duties for the Case Management department.QUALIFICATIONS /
REQUIREMENTS:Minimum of three years hospital case management
experience. Current licensure in the State of New York as a
Registered Nurse. Understanding of Medicare/Medicaid criteria and
insurance regulations and reimbursement.EDUCATION:A Bachelors of
Science in Nursing, preferredOTHER:If applicable, the individual
performing this job may reasonably anticipate coming into contact
with human blood and other potentially infectious materials.
Individuals in this position are required to exercise universal
precautions, use personal protective equipment and devices, and
learn the policies concerning infection control.Required
Keywords: WMC Health Network, Parsippany-Troy Hills Township , Case Manager (RN), Executive , Port Jervis, New Jersey
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