Registered Nurse - Case Management

Lower Bucks Hospital; Bristol Township (Bucks County); On-site; USD 55,000 - 85,000; Part time

Job summary

Lower Bucks Hospital in Bristol, PA, is seeking a Part Time RN Case Manager to ensure high-quality patient care from admission through discharge. The role collaborates with a skilled medical staff to optimize outcomes and manage resources effectively.

Ideal candidates will hold a state RN license with five years of acute care experience and have familiarity with discharge planning. This position offers a partial on-site schedule within a community hospital setting.

Qualifications

• Minimum 5 years post-graduation nursing experience and active state RN license.
• Licensed Clinical Social Worker with 5 years post-graduate experience preferred (RN Case Manager preferred).
• Five years acute care nursing experience preferred; discharge planning or nursing management experience preferred.
• Current BCLS (AHA) certificate preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hire and maintained.

Responsibilities

• Oversee quality and resource management for all admitted patients.
• Promote cost containment and coordinate care with healthcare providers.
• Perform admission and concurrent review of medical records for necessity and intensity.

Skills

Case management

Discharge planning

Nursing experience

Healthcare documentation

Education

Registered Nurse license

Licensed Clinical Social Worker

Tools

Milliman Criteria

InterQual Criteria

Microsoft Office

Job description

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.

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 insure 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 and Work Experience

• Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
• Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
• 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, preferred.
• 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.

Employment Status

Part Time < 60

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