York, PA | Nursing | Tracking Code: 92896
Case Manager (RN) - York Hospital - Day/Night

9
Schedule & Location:
Full-Time: 72 hours, Biweekly
Night Shift: 3-12 hour shifts (7pm-7am)
Every 4th weekend: Day shift (7am-7pm)
York Hospital
Job Description:
Under the general supervision of the Supervisor-Case Management, 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
- 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).
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
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Why WellSpan Health?
Join our team of 20,000 strong working as one. Teamwork, collaboration, partnership—WellSpan Health is an integrated system designed to work as one to build healthier, stronger communities throughout central Pennsylvania and northern Maryland. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits
- Sign-on incentives for new employees (click here for details)
- 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

Diversity, Equity & Inclusion at WellSpan
Welcome. Respect. Value.
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.

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)