Rn Care Manager
Position Duties:
- Coordinate concurrent utilization management activities house-wide and is the main link between the patient, health care team, organization, and payors during the patient's hospital stay.
- Ability to conduct an assessment of patient needs, identify resources required to transition patients to the next setting, and secure the necessary resources.
- Collaborate, educate, and lead an interdisciplinary team of professionals in daily care rounds/care conferences/care planning.
- Excellent communication skills in written, verbal, and electronic systems such as email or with software applications currently used with the hospital.
- Ability to work with community organizations to secure durable medical equipment, health insurance authorizations, arrange transportation.
- Participate in the length of stay of an inpatient hospital population.
- Knowledge of hospital reimbursement methods and quality measures applicable to the care management department.
Minimum Required Qualifications:
- ME/compact RN license
- BLS
- 3-5 years clinical experience in medical/surgical nursing, home care, hospital case management and/or previous utilization review experience
- Utilization review and discharge planning experience
Preferred Qualifications:
CCM or ACM
Length of Assignment: 13 weeks
Shift / Hours Per Week: Variable 8 - 4:30 pm or 4 - 10 hour shifts of 7:30 am to 5:00 pm - No Call - Weekend and Holiday Rotation is required
Start Date: 10/6/2025