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Grand View Health is a leader in the healthcare community, recently earning an “A” Grade for Patient Safety from The Leapfrog Group. Located in Upper Bucks County, Grand View Health is a well-established, independent hospital offering a full range of healthcare services. Our employees enjoy the best of both worlds by working for a top-ranked hospital in a collaborative, community environment. Grand View Health: Recognized for excellence, chosen for caring.
The Registered Nurse (RN) – Case Manager is responsible for the overall coordination of care for an assigned caseload. 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. Goal is to collaborate with patients, families and healthcare providers to promote health and manage illness. 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, pre-certification of hospital stays, and post-acute care services. Prefer 3- 5 years of acute care hospital experience and 2 years of acute care case management experience.
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