RN Case Manager jobs in United States
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Oswego Health · 1 week ago

RN Case Manager

Oswego Health is a nonprofit healthcare system that has been serving the community since 1881. They are seeking an RN Case Manager who will collaborate with multi-disciplinary teams to ensure high-quality, cost-effective care for patients and coordinate individual patient care throughout the continuum of services.

Health CareHospitalMedicalRehabilitationTherapeutics

Responsibilities

Case find and screen patients to identify appropriate clients for case management
Perform admission, concurrent, focused and retrospective review using established, objective criteria; maintain appropriate record of the review
Verify insurance coverage as appropriate
Interact with external case managers
Assign appropriate level of care; make changes as needed
Perform Quality Improvement and other screens and promptly report findings
Use facilitation and problem-solving techniques to coordinate and manage reduced length of stay, cost containment, customer (patient, physician, and staff) satisfaction, and resource utilization
Assess the patient for: physical, functional, psychological, social, environmental and financial status; mental and psychosocial adjustment to illness
Assess the patient’s informal and formal support systems
Link patient with most appropriate institutional and community resources
Facilitate development of new resources as needed in the service continuum
Provide patients with information on Advanced Directives, community services, Patient Rights, case management, discharge planning and other related information
Provide consultation to outpatients and emergency room patients as requested
Provide information on, and initiate referrals for post-hospital care, including: community agencies, rehab and skilled nursing facilities, adult homes, certified home agencies, home meals, financial assistance and other social service needs
Counsel patients on Medicare, Medicaid and private insurance
Provide services with the ability to identify and intervene for issues that are specific to age, diagnosis and disability of the patient population served, including: psychosocial, developmental tasks and cultural norms and boundaries
Maintain current and accurate documentation in the medical record, case files, records, forms and logs as indicated
Participate in in-services, seminars, reading and other education to maintain professional knowledge of case management, utilization review, discharge planning and social work
Participate in studies and statistical surveys as assigned
Comply with government regulations as applicable
Perform other duties as assigned

Qualification

RN licensureDischarge planningUtilization reviewQuality improvementClinical experienceComputer skillsCommunication skillsProblem-solvingTeam collaboration

Required

Graduate of an approved RN program, and current licensure in NYS required
Minimum of 5 years clinical experience required
Demonstrated competence in discharge planning, social work, utilization review, quality improvement, general health care financial management, and computer skills preferred
Ability to stand for extended periods of time
Ability to lift twenty (20) pounds
Moving, lifting or transferring of patients may involve lifting up to fifty (50) pounds
Assist with weights of more than one-hundred (100) pounds
Fine motor skills
Visual acuity

Preferred

Bachelor degree in social work or related health care profession preferred
Demonstrated competence in discharge planning, social work, utilization review, quality improvement, general health care financial management, and computer skills preferred

Benefits

$15,000 Sign on Bonus

Company

Oswego Health

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Oswego Health offers audiology, cardiology, urology, skilled nursing, physical therapy, laboratory, surgical, and rehabilitation services.

Funding

Current Stage
Late Stage
Total Funding
$9.6M
2023-02-22Grant· $9.6M

Leadership Team

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Michael Backus
President & Chief Executive Officer
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Eric Campbell
Executive Vice President
Company data provided by crunchbase