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Part-Time RN Case Manager
Part-Time RN Case ManagerHighmark Health • Oregon, IL, United States
Part-Time RN Case Manager

Part-Time RN Case Manager

Highmark Health • Oregon, IL, United States
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Position Overview :

Join our team as a Part-Time RN Case Manager! In this role, you will play a crucial part in coordinating patient care and ensuring optimal resource utilization while supporting patient satisfaction and appropriate length of stay (LOS).

Key Responsibilities :

  • Assess patient physical, psychosocial, and economic needs for effective transition of care planning.
  • Facilitate development and communication of the continuum of care transition plan in collaboration with the care team.
  • Document and validate specific data to monitor outcomes and prevent readmissions.
  • Ensure compliance with accreditation and regulatory requirements while integrating performance improvement principles into your responsibilities.
  • Obtain necessary pre-certifications and manage authorizations for hospitalizations and post-acute services.
  • Address clinical denials and collaborate with various teams to formulate improvement plans.
  • Maintain up-to-date knowledge of relevant care management practices and serve as an educational resource for staff.
  • Communicate effectively with outpatient providers to enhance the continuum of care.
  • Commit to professional growth and required continued education.
  • Perform additional duties as needed.

Qualifications :

  • Bachelor's Degree in Nursing or relevant experience equivalent to 6 years.
  • At least 3 years in a clinical nursing role.
  • Current State of PA RN licensure or multi-state licensure through eNLC.
  • Professional certification required within 5 years of hire.
  • Strong critical thinking, communication, and collaboration skills.
  • Current CPR certification and necessary background clearances.
  • Preferred Qualifications :

  • Nationally recognized Case Management Certification.
  • Experience in transition planning and knowledge of community resources.
  • Understanding of motivational interviewing techniques.
  • BSN preferred.
  • Location : West Penn Hospital, 4800 Friendship Ave, Pittsburgh, PA 15224.

    Join us in providing exceptional care and making a difference in the lives of our patients!

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    Rn Case Manager • Oregon, IL, United States

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