CASE MANAGER - RN

Part time - 32 hours per week - benefit eligible Job Summary: The Case Managers are experienced Registered Nurses who interact with the patient, families, physicians and other members of the interdisciplinary team to facilitate quality and cost effective care. An essential component to all roles includes the evaluation of medical necessity and intensity of service of each admission to arrive at decisions regarding medical appropriateness for the requested level of care. Communicates with the various payers/insurance companies to authorize services and ensure appropriate reimbursement to the facility. Actively promotes collaboration among all interdisciplinary care providers, including physicians to effectively identify needs for continued inpatient care or appropriate alternate levels of care. There is coordination to affect an appropriate discharge plan with the Case Managers ensuring arrangements of placement/services upon discharge. Assist to identify and make efforts to correct delays in services, fragmentation of care and gaps in communication. Patient outcome monitoring and participation in continuous performance improvement are also requirements in this role. Education Minimum: Graduate of a Registered Nurse Program Preferred: Bachelor Degree in Nursing Registration/Certification/Licensure: Current PA RN license Preferred: Healthcare Provider CPR Experience Minimum: Three years recent clinical experience. Preferred: Managed care or previous Case Management/Utilization Review experience. Other Requirements: Excellent communication skills and skills in customer service. Demonstrates leadership ability. Commitment to the delivery of quality patient care with the ability to develop and maintain effective, professional relationships with all members of the health care team. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (\*) indicates that the item is an essential function. Non-Material Handling Standing\* - Remaining on one's feet in an upright position remaining stationary. -FREQUENT Walking\* - Remaining upright on one's feet, and moving about. -FREQUENT Sitting \* - Body remains in a seated position. -FREQUENT Stooping - To bend the body downward and forward by bending the spine at the waist. - OCCASIONAL Bending - To flex the upper body forward. - OCCASIONAL Twisting - To rotate the upper body forward. - OCCASIONAL Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders. - N/A Ladders - To ascend and descend ladders. - N/A Stairs - To ascend and descend stairs. - FREQUENT Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting - To move the body downwards by bending both knees. - OCCASIONAL Crouching - To bend the body forward and downward by bending the spine and the legs. - OCCASIONAL Crawling - To move the body forward or backwards on hands and knees. - N/A Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height - OCCASIONAL Reaching Overhead - To extend the arms and hands up and out over shoulder height. - OCCASIONAL Grasping - Using functional gripping of the hand to handle an object. - CONSTANT Finger Manipulation - To manipulate objects with the use of fingers. - CONSTANT Seeing - Using visual feedback to accomplish a task or activity. - CONSTANT Hearing - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time. - CONSTANT Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time. - CONSTANT Material Handling Pushing\* - To ex…