Care Manager (rn) Outpatient - Irp

The Ohio State University

Columbus, OH, US
Facilitate patient care transitions
Coordinate pre-admission to post-discharge
Communicate with third party payers
The PCRM facilitates patients through the health care system from pre-admission through post-discharge coordination

Job Summary

  • The PCRM facilitates patients through the health care system from pre-admission through post-discharge coordination.
  • This role serves as the central information source for third-party payers regarding medical necessity and care approval.
  • The position requires collaboration with physicians and nurses to manage patient transitions to the next level of care.

Matching Summary

The PCRM facilitates patients through the health care system from pre-admission through post-discharge coordination.

Skills & Requirements

Must-have

  • Facilitate patient care transitions
  • Coordinate pre-admission to post-discharge
  • Communicate with third party payers
  • Utilize nursing process for care plans
  • Identify barriers to patient progression

Nice-to-have

  • Knowledge of clinical practice guidelines
  • Experience with computer databases
  • Familiarity with payer protocols
  • Evidence-based criteria application

Key Requirements

  • Bachelor's degree required
  • RN licensure required
  • Five years recent clinical experience preferred
  • Masters degree preferred

Work Rights

Not specified

Tailored Resume

Cover Letter