Case Manager, RN
Company: Ahmc Healthcare Inc.
Posted on: June 9, 2021
Under the general supervision of the case management Director
acts as a patient advocate/case manager to hospital clients. An
autonomous role that coordinates, negotiates, procures services and
resources for, and manages the care of complex patients to
facilitate achievement of quality and cost efficient patient
outcomes. Looks for opportunities to reduce cost while ensuring the
highest quality of care is maintained. Applies review criteria to
determine medical necessity for admission and continued stay.
Provides clinically based case management, discharge planning, and
care coordination to facilitate the delivery of cost-effective
quality healthcare and assists in the identification of appropriate
utilization of resources across the continuum of care. Works
collaboratively with interdisciplinary staff internal and external
to the organization. Participates in quality improvement and
evaluation processes related to the management of patient care.
Two years of Case Management experience in an acute care
environment preferred. Demonstrated skills in the areas of
negotiation, communication (verbal and written), conflict,
interdisciplinary collaboration, management, creative problem
solving, and critical thinking. Knowledge of healthcare financing,
community and organizational resources, patient care processes, and
data analysis. Knowledge of utilization management as it relates to
third-party payers. Experience with managed care preferred.
Excellent verbal and written communication skills required.
Demonstrates flexibility via an ability to adapt to changing
priorities and regulations.
BSN or MSW preferred. Current California RN or LVN License and
BLS certification required.
Keywords: Ahmc Healthcare Inc., Whittier , Case Manager, RN, Other , Whittier, California
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