Case Manager RN
3 days ago
At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team
Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been "A" rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the "Woonsocket Hospital," Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at www.landmarkmedical.org.
Landmark Medical Center is an equal employment opportunity employer. We prohibit discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. We also prohibit harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Responsibilities
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical, and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.
Qualifications
Education and Work Experience:
1. Starting April 1, 2015: Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
2. Grandfathered prior to April 1, 2015: Minimum 5 years post-graduation of an accredited school of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning, or nursing management preferred.
4. Current BCLS (AHA) certificate preferred.
5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
6. Experience and knowledge in basic to intermediate computer skills.
7. Behavioral Violence Prevention Training within 3 months of hire and maintain current.
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