The Case Manager coordinates the care and service of a diverse
patient population across the continuum of illness, promotes
effective utilization and monitoring of health care resources and
assumes a leadership role with the interdisciplinary team to
achieve optimal quality, clinical, financial and resource
·RN; BSN preferred
·Basic computer skills in word processing and spreadsheet
·Excellent written and verbal communication skills.
·Skill and proficiency in applying highly technical principles,
concepts and techniques that are central to the nursing
·Maintain a high degree of confidentiality and adapts easily to
ever changing environment
·Proficient in computer use (desktop and/or laptop).
·Demonstrates basic knowledge regarding Case Management,
Discharge Planning & HIM coding standards.
·Analytic skills necessary to accurately assess patient medical
·Excellent interpersonal skills and ability to work on a team in
order to influence physician processes.
·Ability to walk and stand 80% of work time.
·Ability to be flexible and adjust to workload / assignment
changes and interruptions.
·Healthstream (HLC) modules completed by assigned date.
·Complete Associate Self-evaluation and give to Supervisor by
assigned date. Attend 2 of the Associate Round Tables per fiscal
·Minimum of 5 years recent experience in an acute care setting
in a clinical nursing field required.
·Prior experience in utilization review/management, discharge
planning, quality management, case management or coding
·Experience in the supervision and treatment of patients
Familiarity with CMS, TJC, Interqual criteria, Milliman Care
Guidelines and state standards and regulations.
·Licensed as a Registered Nurse in the State of