Acute Case Manager - System Care Management - Full Time

Sayre, PA, United States
Sep 12, 2018

Share:

Job Description

Guthrie Entity

Robert Packer Hospital

Shift

Days Other

40 hours/week

Pay Grade

RPH/N9

License

FLSA Status

Exempt

Main Function

Care Coordination is an organization-wide medical management utilization process for achieving optimal patient, clinical, and operational outcomes in a timely, coordinated, and cost effective manner.  The Case Manager has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using an outcome based approach.  In collaboration with other members of the healthcare team, the Case Manager assesses, plans, and facilitates an individualized continuum of care plan for each patient based on assessed needs and available resources. In conjunction with other members of the healthcare team, the Case Manager will monitor clinical activities and make recommendations for alternate levels of care.  The Case Manager must work cooperatively with all members of the interdisciplinary health care team, the patient, community health care providers and third party payers to assist in ensuring that the patient is receiving the right services in a timely manner and in the most cost-effective setting. The Case Manager takes a proactive approach to ensuring the integration of both clinical and operational outcomes through analysis of clinical and financial data, including length of stay and DRG profiling. In addition, the Case Manager will provide support for the identification, development, and integration, and monitoring of clinical pathways and/or guidelines within the organization.

Education

A BSN degree, or a BA in addition to their R.N. degree is preferred.  A R.N. with 5 years’ experience willing to pursue a BSN/BA will be considered. Individual consideration may be given for a person with a licensed degree in a related field with significant clinical background.

Experience

A licensed BSN or BA with a minimum of five (5) years relevant clinical experience who demonstrates leadership and autonomy in nursing practice A R.N. with five years relevant clinical experience who demonstrates leadership and autonomy in nursing practice For a licensed degree exception, there must be a significant depth of clinical experience:  five (5) years of experience in a healthcare setting with strong care management utilization review, and payer knowledge.  Hold a Case Management certification or obtain a Case Management certification within one (1) year of eligibility.

How To Apply

Guthrie is an equal opportunity employer. To apply for a position at Guthrie please visit www.guthrie.org/careers

Share:

Job Info

Sep 12, 2018

112839-1A

United States