Case Management Nurse

Roxborough Memorial Hospital; Philadelphia (Philadelphia County); On-site; USD 90,000 - 130,000; Full time

Job summary

Roxborough Memorial Hospital seeks a seasoned nurse leader to oversee quality and resource management for admitted patients across the care continuum.

The role advocates cost containment and leads integration of care teams to achieve seamless delivery. Qualified candidates bring RN licensure, 5+ years in acute care and experience in case management or discharge planning.

Qualifications

• Minimum 5 years work experience post-graduation from an accredited school of nursing and a current state RN license.
• Five years acute care nursing experience preferred; at least one year in case management, discharge planning or nursing management preferred.
• Current BCLS (AHA) certificate upon hire and maintained.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Experience and knowledge in basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hire and maintained.

Responsibilities

• Responsible for the quality and resource management of all patients admitted to the facility from admission through the continuum of health care management.
• Advocate for cost containment and lead integration of health care providers to achieve seamless delivery of care.

Skills

Computer skills

Case management knowledge

Education

Registered Nurse license (RN)

5+ years acute care nursing post-grad

Tools

Milliman Criteria

InterQual Criteria

Job description

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.

EDUCATION, EXPERIENCE, TRAINING

• Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
• Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
• Current BCLS (AHA) certificate upon hire and maintain current;
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Experience and knowledge in basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hires and maintain current.