York, PA | Nursing | Tracking Code: 80036

Case Manager (RN) - Case Management - York

Heather Torres
Heather Torres
Sr. Talent Acquisition Consultant
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May 18 In-Person Hiring Events
10:00 a.m. – 2:00 p.m.
WellSpan Ephrata Community Hospital, Ephrata / WellSpan Surgery and Rehabilitation Hospital, York / WellSpan Waynesboro Hospital, Waynesboro
Positions: Certified Sterile Processing Technicians, Food Services, Housekeeping, LPN, Medical Assistant, Nursing, Nursing Support, Pharmacy, Allied Health: Lab Services, Respiratory, Imaging, Surgical Technologist, Home Health RN, Home Health LPN
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May 25 In-Person Hiring Events
10:00 a.m. – 2:00 p.m.
WellSpan Medical Group, York
Positions: Dental Assistant, Dental Hygienist, Medical Assistant, LPN, Patient Service Specialists
MAY
2022
In-Person Hiring Events -
Various Locations and Dates

 

Full time (72 hours biweekly)

7am - 7pm

3-12 hour shifts

Every Sunday

 

Job Description:

RN  Under the general supervision of the Supervisor-Case Management, case manager 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 model (Case Manager and Social Worker teams are assigned to patient care areas) to address patient discharge needs. Provides leadership in the integration of utilization and case management principles throughout the Hospital.

 

Duties and Responsibilities

 

  1. Performs initial reviews for medical necessity and appropriateness of setting for the assigned case load.
  2. Conducts concurrent reviews to ensure medical necessity for continued hospitalization and initiates problem-solving techniques as needed to prevent over and/or under utilization.
  3. Liaisons between third party payers and the treatment team regarding the identified treatment plan in accordance with contractual guidelines or System policy.
  4. 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.
  5. Identifies conditions which require case management across the continuum. Collaborates with the members of the patient care team to identify interdisciplinary needs. 6Makes arrangements for discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families and care team as needed.
  6. Assists with the collection and analysis of utilization patterns and denied cases.
  7. Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).

Qualifications

 

  • Minimum Experience:
    • 2 - 3 years recent acute care
  • Minimum Education:
    • Associate's Degree
  • Preferred Field Of Expertise:
    • Utilization management, case management, or clinical nursing specialty
  • Required Certification:
    • Registration and current RN license in PA

Fraud Notice: Please be aware of potentially fraudulent job postings on other websites or suspicious recruiting email or text messages that attempt to collect your confidential information. If you are concerned that an offer of employment with WellSpan Health might be a scam, please verify by searching for the job posting on joinwellspan.org or contact us at employment@wellspan.org.


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