Case Manager RN Per Diem - New Jersey

3 years case management or discharge planning experience

Applies specific relevant medical necessity criteria for all patients to determine the appropriate patient status or continued need for hospital level of care (Center City).

Follows departmental procedures for Condition 44 downgrades, including medical record documentation, and informing patient and relevant department staff.

Adheres to organizational policies and procedures, identified third party payer contract utilization management workflows and governmental payer processes.

Applies initial DRG for all inpatients and document in the Care Advance (applicable hospitals).

Completes an initial assessment to assess patient’s needs and resources for discharge planning.

The Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care.

Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned patients.

The Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care.

Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned patients.

Advocates for the patient and family throughout the entire episode of care.

Functions as a resource to facilitate communication among the healthcare team and patient/family.