Company Info

Western Connecticut Health Network

34 Maple Street
Norwalk, CT, United States

Phone: 203-852-2727
Web Site: www.wchn.org

Company Profile


RN Case Manager Registered Nurse (Nursing / Healthcare


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Category:

Case Manager

Title:

RN Case Manager Registered Nurse (Nursing / Healthcare

Location:

Norwalk, CT, United States 

Zip Code:

06850
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Employment Type:

Full time
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Job Requirements:

Required: Associate Degree in Nursing and minimum of three years job-related experience. CT RN License with minimum of one year as an acute Care Coordinator. Certification in Case Management or willing to obtain. Knowledge and expertise with use of electronic medical record and use of both Interqual and Milliman screening criteria. Excellent collaborator and team member who is able to work closely with physicians and all members of the health care team to procure the right level of care, correct order for hospitalization, optimal plan of care, and facilitation of services. Knowledge and expertise in both CMS and insurance industry standards as well as guidelines pertaining to appropriate coverage notifications. Ability to be flexible, resourceful and creative in problem solving. Excellent communication skills both oral and written.

Preferred: Bachelor Degree in Nursing. Hours: 

Job Description:

$25,000 Sign On Bonus 
The RN Case Manager is responsible for providing direction and leadership to the clinical team regarding the patient level of care and discharge transition plan. Acts as principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate status is assigned. Assures patient progression of care is efficient and transition plans are executed to the appropriate level within the care continuum.  Provides clinically based concurrent review of the medical record to assess and procure accurate and complete documentation of the patients' diagnoses and procedures.  Ensures documentation accurately reflects quality of care, severity of illness and risk of mortality to support correct coding, reimbursement, and quality initiatives. 

Job ID:

36289