RN Care Navigator — Discharge & Care Coordination

Spectrum Health; Troy (MI); Vor Ort; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Comprehensive benefits

On-demand pay (Payactiv)

Discounts directory

Identity theft protection

Retirement with match

Zusammenfassung

Spectrum Health in Troy, MI is seeking an RN Care Manager to coordinate admission, stay, discharge and post-acute transitions. You will evaluate medical necessity, manage a caseload, and collaborate with payers and physicians to secure authorization and appropriate reimbursement.

The role emphasizes care coordination, utilization management and cost-effective planning within an acute care setting at Troy Hospital.

Qualifikationen

• Bachelor's Degree in Nursing required.
• Will consider non-BSN RN if pursuing a Bachelor's in nursing within 2 years.
• 2 years of relevant experience in acute care.
• Three to five years in care management, utilization management, home care or discharge planning.

Aufgaben

• Integrates cost, quality and utilization to facilitate admission, stay and discharge.
• Reviews appropriateness of admission based on medical necessity.
• Coordinates care and discharge planning for hospitalized patients.
• Communicates with payers, physicians and care teams to obtain authorization.
• Participates in readmission reduction and care transitions.

Kenntnisse

Care management

Utilization review

Discharge planning

Critical thinking

Communication

Ausbildung

Bachelor's Degree in Nursing

RN license (State of Michigan)

Jobbeschreibung

Spectrum Health in Troy, MI is seeking an RN Care Manager to coordinate admission, stay, discharge and post-acute transitions. You will evaluate medical necessity, manage a caseload, and collaborate with payers and physicians to secure authorization and appropriate reimbursement.

The role emphasizes care coordination, utilization management and cost-effective planning within an acute care setting at Troy Hospital.