Case Management Nurse - Weekend Option - Days

WellSpan Health, York, PA | Nursing | Nursing Operations | FTE: 0.6 | Regular | Tracking Code: 109342

Thursday, February 29, 2024
In Person
event preview image

WellSpan In-Person Nurse Hiring Event

WellSpan Good Samaritan Hospital

11:00 a.m. – 3:30 p.m.

Learn more about RN, LPN, Nursing Student and Graduate Nurse opportunities at WellSpan Health.

Register
FEB292024
In Person
WellSpan In-Person Nurse Hiring Event

WellSpan Good Samaritan Hospital

Register
Thursday, February 29, 2024
In Person
event preview image

WellSpan In-Person Nurse Hiring Event

WellSpan Chambersburg Hospital

11:00 a.m. – 3:00 p.m.

Learn more about RN, LPN, Nursing Student and Graduate Nurse opportunities at WellSpan Health.

Register
FEB292024
In Person
WellSpan In-Person Nurse Hiring Event

WellSpan Chambersburg Hospital

Register
Tuesday, March 5, 2024
Virtual
event preview image

Registered & Graduate Nurse Virtual Hiring Event

Multiple Locations

11:00 a.m. – 2:00 p.m.

Learn more about Registered Nurse and Graduate Nurse opportunities at WellSpan Health.

Register
MAR52024
Virtual
Registered & Graduate Nurse Virtual Hiring Event

Multiple Locations

Register
General Summary

Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to support the provision of appropriate, cost effective and quality health care. Works in a team type assignment or Care Coordination Team (CCT) Model (Case Manager and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides leadership in the integration of utilization and case management principles throughout the hospital.

Duties and Responsibilities

Essential Functions:
  • Performs initial reviews for medical necessity and appropriateness of setting for the assigned case load.
  • Conducts concurrent reviews to ensure medical necessity for continued hospitalization and initiates problem-solving techniques as needed to prevent over and/or under utilization.
  • Liaisons between third party payers and the treatment team regarding the identified treatment plan in accordance with contractual guidelines or System policy.
  • Assists the patient care team with the identification and coordination of alternative treatment settings which will provide appropriate care, maintain quality of care and reduce cost.
  • Identifies conditions which require case management across the continuum. Collaborates with the members of the patient care team to identify interdisciplinary needs.
  • Makes arrangements for discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families and care team as needed.
  • Assists with the collection and analysis of utilization patterns and denied cases.
  • Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).
Common Expectations:
  • Prepares and maintains appropriate documentation as required.
  • Maintains established policies and procedures, objectives, quality assessment and safety standards.
  • Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Required for All Jobs:
  • Performs other related duties as identified.
  • WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
  • WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:
  • Standing - Occasionally
  • Walking - Occasionally
  • Sitting - Frequently
  • Reaching - Rarely
  • Talking - Frequently
  • Hearing - Frequently
  • Repetitive Motions - Occasionally
  • Eye/Hand/Foot Coordination - Occasionally
Working Environment:
  • Occupational Hazards - Occasionally
Qualifications

Minimum Education:
  • Associates Degree Required
Work Experience:
  • 2 years Recent acute care experience. Required
  • Utilization management, case management, or clinical nursing specialty. Preferred
Licenses:
  • Licensed Registered Nurse Upon Hire Required or
  • Registered Nurse Multi State License Upon Hire Required and
  • Basic Life Support Upon Hire Required
Courses and Training:
  • Clearance per Child Protective Services law (11P.S. 2201) amended by PA Act 33 of 1985. Upon Hire Required
Knowledge, Skills, and Abilities:
  • Excellent interpersonal/communication skills.
Diana Stump
Diana Stump
Talent Acquisition Consultant

WellSpan invests in you!

Join WellSpan, where we invest in our team members:

  • $17 minimum wage starting July 2, 2023
  • Enhanced weekend differential for most hourly employees
  • More than $245M invested in merit increases, rewards and educational support in the past two years
  • Competitive salaries, benefits, paid time off and a commitment to diversity

Join us and make a difference.

Best of the Best Awards

Employment Benefits

  • Sign-on incentives for new employees
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts
Benefits photo

Welcome. Respect. Value.

Diversity, Equity & Inclusion at WellSpan

WellSpan Health recognizes and honors the diversity of our team members, patients and neighbors, and we embrace all the human characteristics that make us similar and unique. We strive to make every person feel welcomed, respected and valued by creating a safe and inclusive environment to which we all feel a sense of belonging. We are equally committed to ensuring all team members have the opportunity to excel and are positioned for success through equitable policies, practices and resources.

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Diversity photo

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)

QOL photo