Case Management Nurse

Job Title : RN Level 2 -Case Manager

Location : Remote

Duration : 3+ Months of Contract position.

Mon- Fri- 8.30am to 5.00 pm

Pay Rate : $38.00-$40 / hr.

Job Summary :

This position is responsible for performing RN initial and continued stay inpatient reviews using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and inpatient concurrent reviews as assigned by management.

Responsibilities :

Assesses patient's clinical need Products established guidelines and / or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.

Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided.

Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.

Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.

Interacts and communicates with multidisciplinary teams either telephonically and / or in person striving for continuity and efficiency as the member is managed along the continuum of care.

Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.

Completes other assigned functions as requested by management.

Education / Experience :

Requires an associate-s or bachelor-s degree (or higher) in nursing and / or a health-related field OR accredited diploma nursing school.

Requires a minimum of two (2) years clinical experience.

Utilization Management Only

RNs are required to work a specified number of weekends and holidays to meet Regulatory and Accrediting body standards. Requirements may vary based on departments business needs.

Additional licensing, certifications, registrations :

Active Unrestricted NJ RN License Required