Responsibilities

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. The goal of the Registered Nurse, RN, Case Manager is to collaborate with patients, families and healthcare providers to promote health and manage illness. The Registered Nurse, RN, Case Manager 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.

Qualifications

EDUCATION AND EXPERIENCE:

Associate's degree in Nursing required.
Bachelor's degree in Nursing preferred.
Needs knowledge of utilization review, case management, DC planning, care coordination, precertification of hospital days and post-acute care services.
Prefer 3- 5 years of acute care hospital experience and 2 years of acute care case management experience.

LICENSES AND CERTIFICATIONS:

Registered Nurse in PA – licensed, upon hire, required.

BENEFITS:
We offer a competitive salary and comprehensive benefits to part-time and full-time employees, including:

Medical, dental and vision insurance available first of the month after start date
Wellness and gym discounts and free cardiac rehab gym
403b
On-site discounted childcare center
Paid time off
Sick time for full-time employees
Tuition assistance
Free life insurance for full-time employees
Long-term disability for full-time employees
Short-term disability
Employee referral bonus
Identity theft insurance
Pet insurance
Flexible spending accounts
Employee discount program
Employee assistance program
Free parking

Apply Now

Grand View Health is an equal opportunity employer.

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"At Grand View, you are more than just a number. You are a person… a professional with a voice."

Heather M., Physical Therapist

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