Case Manager RN***

Prime Healthcare; Bristol Township, Northern (Bucks County, KY); Hybrid; USD 55,000 - 83,000; Full time

Job summary

Lower Bucks Hospital, a member of Prime Healthcare, is seeking a Per Diem Nurse Case Manager to oversee quality and resource management from admission through discharge. You will advocate for cost-efficient, coordinated care and ensure comprehensive reviews of medical necessity and severity of illness.

Preferred candidates have 5+ years post-graduation nursing experience, an RN license, and solid computer skills. Join a hospital known for community-focused care in Bristol, PA.

Qualifications

• Minimum 5 years' work experience post-graduation from an accredited school of nursing and a current state RN license.
• At least one year experience in case management, discharge planning or nursing management.
• Experience and knowledge in basic to intermediate computer skills.

Responsibilities

• Quality and resource management for admitted patients across the care continuum.
• Lead efforts to promote cost containment and integrate care among providers.
• Perform holistic admission and concurrent review of medical records for necessity and severity.

Skills

Case management

Discharge planning

Nursing leadership

Computer skills

Education

Registered Nurse license

Accredited school of nursing

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Lower Bucks Hospital is a community hospital, serving the Lower Bucks County region with medical, surgical, and emergency care. Located in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. The hospital has more than 200 physicians on staff, as well as another 700 employees.

Responsibilities

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. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications

• Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license2.
• At least one year experience in case management, discharge planning or nursing management3.
• Experience and knowledge in basic to intermediate computer skills.

Preferred Qualifications

• Five years of acute care nursing experience. preferred5.
• CCM or obtained within 1year6.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.7.
• Current BCLS certificate, preferred

Employment Status

Per Diem

Shift

Variable

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf