Job Description
Cooperidge Consulting Firm is seeking a Case Manager Registered Nurse (RN) for a top Healthcare client.
The RN Case Manager (CM) serves as a Care Coordinator, facilitating the interdisciplinary plan of care with a focus on evaluating clinical appropriateness, medical necessity, level of care, and resource utilization. This role coordinates activities that promote quality outcomes and efficient patient throughput, identifies barriers to care, and assumes a leadership role in developing effective discharge plans.
Job Responsibilities
- Perform comprehensive assessments of the psychosocial and medical needs of assigned patients to develop a detailed case management plan of care.
- Evaluate admissions for medical necessity and appropriate observation status using approved criteria, escalating issues through the established chain of command as needed.
- Assume a leadership role with the interdisciplinary team to manage care, ensuring ...