Case Manager / RN

Overview

Responsibilities

The Case Manager RN is responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine the medical necessity of the services provided. This position functions to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The Case Manager RN reports to the Director of Case Management or designee.

Qualifications

Job Requirements

• RN, Associates degree in nursing or higher.
• Preferred
• Job
• Requirements: 2+ years’ acute hospital-based nursing experience. Experience in acute care hospital case management. Certification in case management (ACM or CCM). Rate of pay is determined based on experience and education and may include other pay components such as differentials and call pay based on role.