The RN Case Manager provides case management for assigned patient populations, utilizing clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes
Job Summary
The RN Case Manager provides case management for assigned patient populations, utilizing clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes.
Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization, performing patient needs assessments and facilitating referrals.
Collaborates with Utilization Review Nurse, uses InterQual software, and aids in the delivery of regulatory letters and patient notices related to insurance coverage.
Matching Summary
The RN Case Manager provides case management for assigned patient populations, utilizing clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes.
Skills & Requirements
Must-have
Clinical expertise
Communication skills
Problem-solving skills
Patient needs assessments
Interdisciplinary collaboration
Discharge process compliance
Growth and development knowledge
Nice-to-have
Supervisory or leadership experience
Team player
Customer-focused philosophy
Predictive analytic software engagement
Key Requirements
Registered Nurse
Bachelor's degree required
5 years RN experience in hospital setting may substitute for degree
Three years of recent clinical healthcare experience
Current licensure in Virginia as a Registered Nurse