RN Case Manager / per-diem

RN Case Manager coordinates care for SSH&EC patients, conducts discharge planning and care coordination to facilitate cost-effective quality healthcare. Uses InterQual criteria to determine medical necessity for admission and continued stay, negotiates and procures services/resources, and collaborates with interdisciplinary staff to optimize patient outcomes. Responsibilities include reviewing medical records for observation/admission status, facilitating timely discharge, managing referrals and transitions, and supporting utilization management across the continuum of care with emphasis on preventing delayed discharges and ensuring appropriate resource use. Requires strong negotiation, communication, and critical thinking skills, and active nursing licensure with CCM/ACM certification within two years of hire.