Registered Nurse Case Manager Full-Time Days MMH

Focuses on leadership in the multidisciplinary planning and coordination of the patient's care across the healthcare continuum. Organizes the sequence of patient care to attain maximum levels of effectiveness and efficiency to reach desired quality, clinical, and cost outcomes. Organizes multiple strategies to ensure the care of all patients is managed with minimal overlapping roles and processes. Participates in a team approach composed of the physician, social work, providers (direct and indirect) community resources, and payers. Conducts medically necessary utilization, manages home/outpatient services and in collaboration with the clinical team and medical provider, provides discharge planning coordination and intervention. Strives to promote patient wellness, improve care outcomes, efficient utilization of health services and minimize denials of payment among a patient population with complex health needs. Communicates and updates leadership on cases that require leadership level assistance and/or approval as they occur including data collection and reporting.