RN-Case Manager jobs in United States
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Peoples Health Services · 14 hours ago

RN-Case Manager

Peoples Health Services is seeking an RN-Case Manager to assess, plan, implement, coordinate, monitor, and evaluate options and services to meet clients' health needs. The role focuses on developing and implementing a Plan of Care based on utilization guidelines and Clinical Pathways, ensuring effective communication and resource utilization to achieve quality outcomes.

Hospital & Health Care

Responsibilities

Assesses plans, implements, coordinates, monitors, and evaluates options and services to meet client’s health needs through appropriate communications and utilization of available resources to promote quality, cost-effective outcomes
Via assessment of client, the RN will develop and implement a Plan of Care based on utilization guidelines and Clinical Pathways
The focus of service delivery is on providing the right mixes of services and service resources that result in the client achieving the Plan of Care
Good communication skills to facilitate coordination of care
Familiarity with decimals and metric system
Proficient in use of OASIS
Knowledge of OSHA, JCAHO/CHAP, State and Federal standards
Familiar with payor reimbursement guidelines
Knowledge of standard precautions
Must thoroughly understand PPS, be clinically astute, and utilize case management guidelines to promote positive outcomes, utilize automation effectively, and incorporate effective processes and collaboration

Qualification

OASISCase management guidelinesOSHA knowledgeJCAHO/CHAP knowledgePayor reimbursement guidelinesClinical PathwaysStandard precautionsPPS understandingMetric system familiarityCommunication skills

Required

Good communication skills to facilitate coordination of care
Familiarity with decimals and metric system
Proficient in use of OASIS
Knowledge of OSHA, JCAHO/CHAP, State and Federal standards
Familiar with payor reimbursement guidelines
Knowledge of standard precautions
Must thoroughly understand PPS
Be clinically astute
Utilize case management guidelines to promote positive outcomes
Utilize automation effectively
Incorporate effective processes and collaboration

Company

Peoples Health Services

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Our care team is focused on helping you manage your loved one’s chronic condition, recovery from an illness or surgery, or a change in medical condition.

Funding

Current Stage
Growth Stage
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