What are the responsibilities and job description for the RN-Case Manager 5 days/week 8 hours plus call position at Newberry County Memorial Hospital?
Description
Assumes clinical management of patients by working with health care providers, patients and families to develop cost effective plans of care. Assists with comprehensive care planning, implementation of care plans, communication and evaluation of progress toward goals. Assessment of patients and planning for discharge needs upon discharge, which may include skilled care, acute rehab, home health, durable medical equipment, etc. Ensures appropriate level of care on admission and uses InterQual guidelines or provides clinical information to insurance companies.
Requirements
Education: Registered Nurse or Licensed Practical Nurse with valid license from SC State Board of Nursing. Valid BLS certification
Experience:
1-3yrs Skilled Nursing/Acute Care experience
1-3yrs experience case management/utilization review
Preferred experience with the application of InterQual criteria
Preferred experience with insurance authorizations and notifications