Manager, Nursing

RN
- Care Manager (PRN)

Location:

Albany GA

Job Summary:

The Nurse Case Manager (CM) is responsible for care coordination of patients along their continuum from point of entry through discharge. The CM will address issues related to appropriate and timely admission discharge and care for patients receiving inpatient and observation care and services at PPHS facilities. The Care Manager performs first level clinical reviews according to hospital approved clinical criteria and in accordance with the Care Management Program's Utilization Plan and payer specific requirements.

He/she will address utilization of resources for efficient and effective care delivery at the appropriate level of care. The Care Manager collaborates with social work physicians nurses and multidisciplinary team lending professional care management expertise to ensure quality timely and cost effective case management for an identified patient population and addresses issues or patterns in patient readmission. In this role the Care Manager is accountable for facilitating clinical patient progression through a defined plan of care to achieve optimal outcomes.

Under the direction of the Care Management Team Lead the Director of Care Management and through coordination with nursing social work physicians and other members of the interdisciplinary team the Care Manager develops facilitates and implements appropriate case management and discharge plans.

Qualifications:

Associate's Degree in Nursing from a state accredited school (Required) Bachelor's Degree in from a state accredited School of Professional Nursing (Preferred) Work Experience 3 or more years of recent acute care experience with relevant clinical experience in the assigned area. (Required) 1 or more years of Case Management or Utilization Review experience in a hospital or related setting. (Preferred) Licenses and Certifications Registered Nurse (RN) with current Georgia license (Required) Certified Case Manager (CCM) (Preferred)