You’ll need
Licensure
✓Must have and maintain license as Registered Nurse in Rhode Island.
Certifications
✓As of 1/1/16, Certification in Case Management (CCM or ACM) earned within 24 months of employment, prorated for part-time staff.
Qualifications
✓Minimum of 3 to 5 years related clinical and/or Case Management experience required.
✓Ability to effectively communicate with and gain cooperation of resident and attending physicians with regards to documentation needs and to effectively influence all members of the interdisciplinary care team during difficult cases to achieve appropriate resolutions.
✓Must have effective written communication.
✓The ability to interpret medical data as documented.
✓Knowledge and training in multiple computer systems required to perform position responsibilities (i.e. EMR, Microsoft Office, etc.) Participation in weekend and holiday coverage rotation.
✓Flexibility to cover as needed.
Utilization of level of care management, quality management, discharge planning, basic knowledge of third party payer or case management knowledge preferred.
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About the role
The The RN Case Manager (RN CM) utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include, but are not limited to, clinical effectiveness, discharge planning, care coordination, and clinical resource management.
What you’ll do
Transition of Care PlanningTransition of Care Planning
Point of Entry andPoint of Entry and Emergency Department Duties, when applicable per assignment
Utilization Review for POE/EDUtilization Review for POE/ED RN Case Manager
Resource Allocation for POE/EDResource Allocation for POE/ED RN Case Manager