RN Case Manager: Care Coordination Specialist

Entertimeonline; Peridot (AZ); On-site; USD 65,000 - 85,000; Full time

Job summary

Entertimeonline seeks an RN Case Manager (The Nurse) to coordinate care for assigned patients under an established treatment plan and ensure timely transitions of care. The role requires RN licensure with Arizona preference and 1+ year case management experience.

Responsibilities include care coordination across providers, clinical liaison activities, utilization review, and data analysis to drive performance improvements. CPR/ACLS certification, or obtain within 30 days, is required.

Qualifications

• At least 1 year of case management experience; certification preferred or any other combination of education, training and/or experience.
• ASN required; BSN preferred.
• Current and active state unrestricted RN license; Arizona license preferred.
• CPR and ACLS certification or obtain within 30 days of hire.

Responsibilities

• Manages and oversees care coordination of assigned patient caseload to ensure delivery of services across care levels.
• Serves as primary clinical liaison between referral hospitals, treatment facilities and patients/families.
• Reviews charts to determine appropriate referral services based on needs.
• Facilitates and participates in patient care coordination activities to meet care needs in a timely manner.
• Collaborates with patient, family and other parties to coordinate coverage through private and governmental health plans.
• Performs utilization review to maximize reimbursement/coverage of charges.
• Responds to patient complaints and escalates issues to appropriate parties with corrective actions as needed.
• Collects and analyzes outcome data to identify best practices and improvement opportunities.
• Participates in orientation, training and quality assurance programs.

Skills

Case management

Clinical liaison

Utilization review

Education

Associate of Science in Nursing (ASN)

Bachelor of Science in Nursing (BSN)

Job description

Entertimeonline seeks an RN Case Manager (The Nurse) to coordinate care for assigned patients under an established treatment plan and ensure timely transitions of care. The role requires RN licensure with Arizona preference and 1+ year case management experience.

Responsibilities include care coordination across providers, clinical liaison activities, utilization review, and data analysis to drive performance improvements. CPR/ACLS certification, or obtain within 30 days, is required.