RN CASE MANAGER

Full-time
Ortigas
Posted 2 months ago

Position Requirements:
• Knowledge of US Healthcare Market

• Possession of a valid license as a Registered Nurse (NCLEX) for the State of California.

• Experience, or its equivalent, as a registered nurse in an acute care hospital, or in a medical/surgical ward or unit.

• Discharge planning experience in an acute care hospital, or as a Case Manager in an alternate medical setting such as a clinic or physician’s office performing discharge planning.

• May be required to possess and maintain specific certificates competency based on unit specific requirements as a condition of employment.

• Possession and maintenance of a current American Heart Association Healthcare Provider Basic Life Support (BLS) card.

• Appointees not possessing the BLS card must successfully complete appropriate training and qualify for the BLS card within 60 days of employment.

 

Knowledge on the following:

  • Payor source documentation requirements and governmental regulations affecting reimbursement
  • Knowledge of acute care nursing principles, methods and commonly used procedures
  • Knowledge of common patient disease processes and the usual methods for treating them
  • Knowledge of medical terminology, hospital routine and commonly used equipment
  • Knowledge of acute hospital organization and the interrelationships of various clinical and diagnostic services.

 

Ability to complete the following:

  • Effectively evaluate the medical records of hospital admissions regarding continuing stay necessity, appropriateness of setting, delivered care, use of ancillary services and discharge plans
  • Ability to assess and judge the clinical performance of physicians and other health professionals
  • Ability to communicate documentation needs in an effective and tactful manner that promotes cooperation.

Job Features

Job CategoryHealthCare

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