Care Manager RN - Inpatient

Wexner Medical Center; Columbus (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

Wexner Medical Center in Columbus, Ohio is seeking a Patient Care Resource Manager to facilitate patient care from pre-admission to post-discharge. The ideal candidate will have a Bachelor's degree (Master's preferred), RN licensure, and five years clinical experience. Responsibilities include monitoring care quality and efficiency while collaborating with healthcare professionals. This is an opportunity to enhance patient experiences and ensure effective care transitions. The role demands strong knowledge of clinical guidelines and payer protocols.

Qualifications

• Bachelor's degree required; Master's preferred.
• RN licensure required.
• Five years recent clinical experience applicable to the population preferred.

Responsibilities

• Facilitate patients through the healthcare system from pre-admission to post-discharge.
• Monitor and coordinate the patient plan of care.
• Collaborate with physicians, nurses, and other healthcare workers.

Skills

Clinical practice guidelines

Computer databases

Payer protocols

Education

Bachelor's Level Degree

Master's Degree

Job description

Scope of Position/Position Summary

The Patient Care Resource Manager, PCRM, is a nurse case manager that facilitates patients through the health care system to include pre-admission through post discharge coordination of care, resources and services utilizing the nursing process. The PCRM monitors and coordinates the patient plan of care to enhance the timeliness of patient care decisions and throughput and to enhance care quality and efficiency and ensure efficient resource utilization. The PCRM identifies and removes barriers to progression of the plan of care for each patient. The PCRM collaborates with physicians, nurses and other health care workers to manage the patient transition to the next level of care. The PCRM is the central information source for third party payers, communicating the plan of care, medical necessity, and gaining approval for post discharge care. The PCRM, through the use of evidence-based criteria, assists the physicians in ensuring the appropriate level of care for each patient.

Minimum Education Required

Bachelor's Level Degree or equivalent combination of education and experience.

Required Qualifications

Bachelor’s degree, Masters preferred. RN licensure required; five years recent clinical experience applicable to the population preferred; knowledge of clinical practice guidelines, computer data bases, and payer protocols desired.

Career Roadmap

FUNCTION: Care Management

SUB-FUNCTION: Nursing Case Management

CAREER BAND: Individual Contributor - Clinical

CAREER LEVEL: C2

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.