Case Manager RN

Prime Healthcare; Woonsocket (RI); On-site; USD 55,000 - 69,000; Part time

Job summary

Landmark Medical Center in Woonsocket, RI, part of Prime Healthcare, is hiring an RN Case Manager for 32 hours per week with a day shift from 8:00am to 4:30pm. The role focuses on admission and continuum of care, advocating for patients while advocating cost containment and quality outcomes.

Ideal candidates have at least 5 years of nursing experience post-graduation and an active RN license, with preferred experience in case management and discharge planning.

Qualifications

• Must be a licensed RN with a minimum of 5 years post-graduation nursing experience.
• Experience in case management, discharge planning or nursing management is required or preferred.
• Basic to intermediate computer skills are required.

Responsibilities

• Oversee the quality and resource management of admitted patients across the care continuum.
• Promote cost containment and coordinate with health care providers to ensure seamless delivery of care.
• Perform holistic admission and concurrent record reviews to verify medical necessity, intensity of service and severity of illness.

Skills

Case management

Discharge planning

Nursing management

Communication skills

Education

RN license

BSN preferred

Tools

Basic to intermediate computer skills

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:

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

Preferred Qualifications

• 4. Five years of acute care nursing experience. preferred5.
• 5. CCM or obtained within 1year.
• 6. Knowledge of Milliman Criteria and InterQual Criteria preferred.
• 7. 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