RN Care Manager - Phoebe Sumter Hospice

Phoebe Putney Health System; Americus (GA); On-site; USD 70,000 - 90,000; Full time

Job summary

Phoebe Putney Health System in Americus, GA is seeking a Nurse Case Manager to coordinate patient care from entry through discharge across inpatient and observation services.

The CM conducts first level clinical reviews per hospital criteria and Utilization Plan, addresses resource utilization, and partners with social work, physicians, nurses and the multidisciplinary team to ensure timely, cost‑effective care.

Responsibilities

• Coordinate patient care from entry through discharge for inpatients and observation patients.
• Conduct first level clinical reviews according to hospital criteria and Utilization Plan; address resource utilization.
• Collaborate with social work, physicians, nurses and multidisciplinary team to ensure timely and cost-effective case management.

Job description

Job Summary

The Nurse Case Manager (CM) is responsible for care coordination of patients along their continuum from point of entry through discharge. The CM will address issues related to appropriate and timely admission, discharge, and care for patients receiving inpatient and observation care and services at PPHS facilities. The Care Manager performs first level clinical reviews according to hospital approved clinical criteria and in accordance with the Care Management Program's Utilization Plan and payer specific requirements. He/she will address utilization of resources for efficient and effective care delivery at the appropriate level of care. The Care Manager collaborates with social work, physicians, nurses and multidisciplinary team, lending professional care management expertise to ensure quality, timely and cost effective case management for an identified patient