You’ll need
Certifications
CCM or obtained within 1year6. preferred
Current BCLS certificate, preferred
Education
✓Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license2.
Qualifications
✓At least one year experience in case management, discharge planning or nursing management3. Experience and knowledge in basic to intermediate computer skills.
Five years of acute care nursing experience. preferred5. Knowledge of Milliman Criteria and InterQual Criteria preferred.7.
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About the role
Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
What you’ll do
Patient Assessmentevaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
Care Coordinationdevelop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
Discharge Planningcoordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
Utilization Reviewmonitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
Patient and Family Educationhelp patients and families understand care plans, post-discharge instructions, and available resources