Case Manager RN

Prime Healthcare; Woonsocket (RI); On-site; USD 60,000 - 90,000; Part time

Job summary

Landmark Medical Center in Woonsocket, RI, is seeking a Part-Time RN Case Manager to oversee admission quality and care coordination.

Responsibilities include assessing medical necessity, coordinating discharge planning, and promoting cost-effective outcomes. Requires RN license and 5+ years of post-graduate nursing experience, with a background in case management preferred.

Qualifications

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

Responsibilities

• Manage quality and resource use for admitted patients across the care continuum.
• Lead cost containment and coordinate care with providers to ensure seamless delivery.
• Perform admission and concurrent review for medical necessity and severity of illness.

Skills

Basic computer skills

Education

Registered Nurse license

Job description

Overview

At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team!

Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been “A”rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the "Woonsocket Hospital", Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at www.landmarkmedical.org.

32hrs/week

8:00am - 4:30pm

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 license
• At least one year experience in case management, discharge planning or nursing management
• Experience and knowledge in basic to intermediate computer skills

Preferred Qualifications:

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

Employment Status

Part Time > 59

Shift

Days

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