Case Manager RN

NWH

Posted on : 09-04-2025

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1 Vacancy

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Job Location

Newton, NC - USA

Monthly Salary

Not Disclosed

Salary Not Disclosed

Vacancy

1 Vacancy

Posted on : 09-04-2025

Job Description

MA lic required. Minimum 5 10 years RN case mgmt experience in an acute care hospital experience preferred. Understanding of utilization management

third party payor and insurance knowledge interqual criteria helpful. Discharge planning experience important..

Department and Henderson Surgical Center. The Case Manager is responsible for monitoring the utilization of services and quality of care in order to ensure the delivery of high quality cost effective patient care. She/he will develop and implement case management plans for those patients identified as requiring post discharge services .The Case Manager will serve as a resource for physicians hospital staff and patients and their families in the areas of insurance benefits managed care community resources and discharge options.The role requires the ability to offer creative problem solving techniques using sound and prudent clinical judgment. The Case Manager continually updates and educates him/herself in the areas relating to case management managed care and other pertinent areas. The RN Case Manager consults and collaborates in activities related to the establishment of appropriate level and venue of care for patients. He/she concurrently reviews and monitors patient records and participates in direct and indirect communication with caregivers to ensure continued appropriate level of care utilization of hospital and medical resources and participates in quality and risk management case finding activities. The RN Case Manager performs consults and collaborates in activities related to the safe effective and efficient discharge or disposition of patients.

Required Experience:

Manager

Employment Type

Part-Time

Company Industry

Key Skills

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About Company

NWH

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Case Manager RN

NWH

Job Description

Employment Type

Company Industry

Key Skills

About Company

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