Registered Nurse (RN) - Case Manager

Memorial Physician Practices; Johnstown (Cambria County); On-site; USD 70,000 - 85,000; Full time

Benefits offered by this job

Comprehensive Benefits: medical, dental, vision

Financial Protection & PTO

Higher education and certification tuition assistance

Employee wellness programs

Ongoing learning and career advancement

Job summary

Memorial Physician Practices is hiring a Registered Nurse (RN) - Case Manager in Johnstown, PA. As an RN, you'll be responsible for managing case functions and care coordination, ensuring patients receive the necessary resources during their care journey.

The ideal candidate has 3 years of acute care experience and holds BLS certification. Comprehensive employee benefits including medical, dental, and financial growth opportunities are available. Join us in making a difference in patient care.

Qualifications

• BLS Certification is required.
• Must have 3 years of acute care experience as a Nurse.
• Previous case management experience preferred.

Responsibilities

• Utilizes Interqual or the 2MN rule to determine status for all patients.
• Collaborates with interdisciplinary teams for care progression.
• Assesses and implements strategies to reduce barriers in care transitions.
• Follows CMS & regulatory requirements for Case Management.

Skills

Case Management functions

Care Coordination

Interqual or 2MN rule

Collaboration with interdisciplinary team

Assessment and intervention

Education

BLS Certification

3 years experience in acute care as a RN

Case management certification, CP preferred

Job description

Registered Nurse (RN) - Case Manager (Job Type: PRN | M‑Sun 8a‑4:30p)

How you’ll contribute

• Skilled in Case Management functions and Care Coordination
• Utilizes Interqual or the 2MN rule to determine status for all patients assigned an acute care bed
• Reviews medical records and provides accurate clinical information to payers for authorization
• Collaborate with interdisciplinary team to facilitate progression of care and resource utilization
• Proactively interacts with patients and families during the admission process to set expectations for the course of stay and length of stay
• Proactively analyzes information from the care team to support inpatient admission
• Assesses, identifies, and intervenes to reduce the risk of barriers that will interfere with the transition of care
• Facilitates optimal care transition to reduce avoidable readmissions
• Follows the Case Management policy & procedure for utilizing Physician Advisors
• Interacts with attending physicians, physician advisors and department chairs about any identified quality issues and utilization issues
• Leads Interdisciplinary Discharge Planning Rounds (IDTs) to determine appropriate concurrent care planning, resource utilization and appropriate post‑acute level of care determination
• Identifies and documents avoidable days and intervenes promptly to remove identified barriers
• Follows CMS & regulatory requirements for Case Management processes
• Coordinates concurrent denial/appeal (peer‑to‑peer) process for assigned cases
• Assumes on‑call and weekend duties as assigned
• Assists floor(s) with transportation barriers during working hours

Why join us

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full‑time and part‑time employees
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short‑ and long‑term disability, paid family leave and paid time off
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package with company match
• Employee Well‑being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs)
• Professional Development: Ongoing learning and career advancement opportunities

What we’re looking for

• BLS Certification
• 3 years experience in acute care as a Professional Nurse or RN with significant acute care hospital Case Management experience
• Previous case management experience preferred
• Case management certification, CP preferred

Conemaugh Memorial Medical Center is a 420‑bed, Level 1 Trauma Center located in Johnstown, PA.

EEOC Statement

Conemaugh Memorial Medical Center is an Equal Opportunity Employer. Conemaugh Memorial Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.