Case Manager (RN)

BSN or ADN with equivalent experience.

Three years of experience in a clinical setting, ambulatory or post-acute.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Identifies and prioritizes patient in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors; uses a multi discoplinary approach to assess/plan for care needs.

Identifies and implements strategies such as motivational interviewing to promote patient engagement, self-care, treatment adherence, and optimal levels of health and well-being.

Utilizes evidenced based guidelines (such as InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease variation and mitigate waste.

Verifies appropriate level of care; enters clinical review and authorized days in Epic; documents actions to avoid denied days; refers cases to Physcian Advisor as appropriate.

Manages observation stay patients assertively and ensures timely testing,  treatment and conversion to inpatient status or discharge.