Registered Nurse (RN) Care Manager - Case Management - St. Francis Medical Center - PRN
$80,350–$80,350 year
On-siteMidlothian, Virginia, United States
Job Summary
Coordinate care for patients to support safe, seamless transitions across the continuum by identifying, assessing, and planning services for individuals in need of active case management. Prioritize patients using a holistic approach that includes biopsychosocial, functional, cultural, spiritual, and financial factors, then collaborate with patients, caregivers, and the healthcare team to maximize quality and cost-effective outcomes. Monitor and revise care plans as patient conditions change, ensuring documentation remains clear, concise, and timely to reflect post-hospital needs and evidence of patient involvement. Manage discharge planning, advance care planning, and readmission prevention while supporting denial prevention related to medical necessity through interdisciplinary discharge rounds.
Required Qualifications
- Bachelor of Science in Nursing (preferred for BSMH, required for RSFH)
- BLS Basic Life Support – American Heart Association
- RN License in the state in which they are working or covered by compact
- Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC)
- 1 year of experience in clinical setting
- Knowledge of government and non-government payor practices, regulations, standards and reimbursement
Desired Qualifications
- 3 years of experience in an acute care clinical setting
- Ambulatory or post-acute, care coordination experience
- Nursing Case Management board certification
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