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Registered Nurse Case Manager and Utilization Review
Job Description
DEPARTMENT
: Utilization ReviewJOB TITLE
Registered Nurse Case Manager and Utilization Review SHIFT :
.8 FTE, 64 hours bi-weekly, Days, Rotating weekend coverage required. Essential Functions Assess all needs for referrals to include durable medical equipment, special needs equipment/services, ongoing specialty medical care, and institutional referrals such as transfers to rehabilitative or nursing home care. Collaborates with providers, other members of the healthcare team, and community agencies as needed to help facilitate the best discharge plan for the patient. Create individual and comprehensive case management and treatment plans. Follow case and quality management processes in compliance with regulatory guidelines and company procedures. Participates in Daily Collaborative Rounds.QUALIFICATIONS
Three years of hospital clinical experience. Skills/Competencies Demonstrates clinical assessment skills, including assessing clients from pre-admission to post discharge. Comply with the Indiana Pre-Admission Screening/PASAAR program manual to complete designee duties as a discharge planner. Knowledge of available community resources and external agencies. Ensures timely and accurate completion of workload and clinical documentation. Education Required Bachelor's degree in nursing or higher . Associate degree Nurse currently enrolled in an accredited bachelor's program with a completion date of fewer than 12 months from hire. Licenses Requirements Licensed Registered Nurse in the State of Indiana Certification Required or Preferred NoneCareer Insights for Nurse Case Manager
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Scorecard
Based on Indiana data
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What they do
A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.
$67,128 / year median in Indiana
+6% projected growth