Case Manager RN - Good Samaritan Hospital -Days

Job description

Full-time (72 hours biweekly) Weekdays, daytime hours 7:30 am to 4 pm General Summary: Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles. Duties and Responsibilities: Essential Functions: - Reviews assigned patients for medical necessity, utilization management, and appropriateness of setting for continued hospitalization. - Initiates problem-solving techniques to prevent over and/or under utilization. - Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support continuous quality and cost of care efforts. - Liaisons between utilization management team, third party payers, and the treatment team regarding the identified treatment plan in accordance with contractual guidelines and System policy. - Assists the patient care team wi...