413 Results for

Nurse Case Manager Jobs in Providence, RI

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New!

Attleboro, MAToday
  • $2,552–$2,552

Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Attleboro, MA 02703. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.

New!

Attleboro, MAToday
  • $2,522–$2,522

Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 hours (08:00 - 16:30) Experience: Minimum 3 years required License: Active RN license required Certifications: BLS, Case Management Certification, Bachelor's Degree Must-Have: - Case management experience in an acute care setting - Proficient in utilization review and denials management Description: Seeking a Registered Nurse for the Case Management specialty. TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Attleboro, Massachusetts, 02703!

New!

Attleboro, MAToday
  • $2,562–$2,562

p>Opt In:

By providing your phone number and engaging with Lynn Care, LLC (also known as Zack Group), its affiliates, and contracted partners—including via text message, phone call, AI-generated call, AI-generated text, or email—you consent to receive communications regarding job opportunities.

Zack Group is currently seeking Case Manager RN’s for positions in Attleboro, Massachusetts.

New!

Attleboro, MAToday
  • $2,542–$2,542

p>Opt In:

By providing your phone number and engaging with Lynn Care, LLC (also known as Zack Group), its affiliates, and contracted partners—including via text message, phone call, AI-generated call, AI-generated text, or email—you consent to receive communications regarding job opportunities.

Zack Group is currently seeking Case Manager RN’s for positions in Attleboro, Massachusetts.

New!

Attleboro, MAToday
  • $2,288–$2,288

TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TravelNurseSource is working with TRS Healthcare to find a qualified Case Manager RN in Attleboro, Massachusetts, 02703!

New!

Attleboro, MAToday
  • $2,284–$2,284

Atlas Medstaff is currently seeking candidates in the RN (Case Manager) profession for a 13 week contract in the Attleboro, Massachusetts area. *Estimated compensation package based on a usual week of work, inclusive of taxable hourly wage and expected weekly travel expenses.

New!

Attleboro, MAToday
  • $2,462–$2,462

Job Title: Emergency Department Case Manager RN Profession: Registered Nurse Specialty: Case Manager Duration: 8 weeks Shift: Day Hours per Shift: 8 hours (10:00 - 18:00) Experience: 1 year in Emergency Department setting required License: Must have MA license Certifications: BLS required Must-Have: Experience in Emergency Department setting Description: We are seeking an Emergency Department Case Manager RN for a day shift. This role is suitable for those who are motivated to support patient care and enhance operational efficiency in an Emergency Department setting.

New!

Attleboro, MAToday
  • $2,542.80–$2,542.80

CERTIFICATIONS- BLS REQUIRED- CASE MANAGEMENT CERT*- BACHELORS REQUIRED40 HOURS OF ORIENTATION Modified 7:00:00 AM Account Manager: Anson Frederick Account Manager Email: COVID-19 Vaccine: Required - No Exemptions Flu Vaccine: Required - Medical Exemptions Only Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 3 Patient Ratio Experience : Charting System Experience : - Charting System Name : Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, Case Management Cert*, Bachelor's DegreeSkills : Acute Hospital, Admission Criteria, Admission Criteria, Appeals and Denials, Appeals and Denials, Audits, Audits, Benefits Eligibility, Care coordination, Concurrent Review, Concurrent Review, Continued Stay Reviews, Continued Stay Reviews, CPT (Current Procedural Terminology) coding and billing, Data Abstraction, Data Abstraction, Determine Medical Necessity per Evidence-Based Guidelines, Disability case management, Discharge Planning, Disease management, Medical Necessity, Needs Assessment/ Order DME, Plan of Care, Pre-Cert Review, Pre-Cert Review, Prior Authorization, Prior Authorizations, Quality Improvement, Retrospective Review, Retrospective Review, Utilize InterQual Criteria, Utilize InterQual Criteria, Utilize Milliman Guidelines, Utilize Milliman Guidelines, Worker s comp case management, CM in Acute Care/Med-Surg Unit Details Staffing & Scheduling Scheduling Type : - Patient Ratios Days : 35 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : none Pre-Approved Time Off : - Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : 117 Number of Visits Per Day : 1 Number of Rooms : - Number of Beds : 40 Additional Unit Information Interdisciplinary Support : Social Services Patient Diagnoses : - Special Procedures/Unit Details : Med Surg Special Equipment : - #Tier2 Travel Compliance Clinician should log into their MA online portal to itemize all items being received by the board and send snip to recruiter. ID: 63712746 Shift: Day 5x8-Hour (08:00 - 16:30) Description: CASE MANAGER, 5, 8 HR (08:00 - 16:30)3 YEARS EXPERIENCE REQUIRED1ST TIMERS OKAY!PATIENT AGE GROUP- ADULTS- GERIATRICSSTAFFING RATIO- 1:35NO WEEKENDS!MED SURG UNITCase Management experience in an acute care setting and Bachelor's Degree are required.will need to be proficient in utilization review and denials management.

New!

Attleboro, MAToday
  • $1,982.48–$2,289.53

p>We`re currently seeking a RN - Case Management (CCM) to join our amazing team with the following qualifications:

  • One or more year(s) of experience as a RN. TravelNurseSource is working with National Staffing Solutions to find a qualified Case Manager RN in Attleboro, Massachusetts, 02703!

New!

Attleboro, MAToday
  • $2,428–$2,428

Once a nurse selects an assignment of their choice, we then empower the nurses with an easy profile generator allowing nurses to submit themselves for an interview with confidence knowing they've booked an open job with the pay and location of their choice. Stability displays to their nurses the best travel nursing jobs allowing for faster submissions, scheduling of Interviews, and ultimately landing our nurses their preferred assignment.

New!

Attleboro, MAToday
  • $2,404–$2,404

Once a nurse selects an assignment of their choice, we then empower the nurses with an easy profile generator allowing nurses to submit themselves for an interview with confidence knowing they've booked an open job with the pay and location of their choice. Stability displays to their nurses the best travel nursing jobs allowing for faster submissions, scheduling of Interviews, and ultimately landing our nurses their preferred assignment.

New!

Attleboro, MAToday
  • $2,482–$2,482

Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.

New!

Attleboro, MAToday
  • $2,422–$2,422

Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.

New!

Fall River, MAToday
  • $2,075.87–$2,228.89

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Fall River, MA. TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Fall River, Massachusetts, 02720!

New!

Attleboro, MAToday
  • $2,302–$2,302

Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. GetMed Staffing is searching for a strong Case Manager RN to assist our traveler-friendly client.

New!

Attleboro, MAToday
  • $2,241.25–$2,241.25

strong>Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.

New!

Attleboro, MAToday
  • $2,173.35–$2,173.35

strong>Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.

Norwood, MA30+ days ago
  • $99,000–$115,000

We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.

New!

North Lakeville, MA5 days ago

Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role.

In addition to performing visits and completing coordination of client care, the Registered Nurse RN Home Health is the point of contact for all disciplines involved with providing care to patients and oversees the frequency of visits for the episode.

Charlton, MA26 days ago
  • $89,000–$95,000 Per Year

Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.

Warwick, RI30+ days ago

In collaboration with the healthcare team, the Case Manager utilizes evidence-based practice to ensure that specific patient outcomes are reliably achieved and that resources are appropriately used within designated fiscal time frames. 3. Utilizes information obtained from various resources available to: 3.1 Ensure that each patient meets the clinical needs for admission, treatment, and discharge and initiates appropriate follow through with the health care team.

New!

Attleboro, MAToday
  • $2,160–$2,160

Modified 7:00:00 AM Account Manager: Anson Frederick Account Manager Email: COVID-19 Vaccine: Required - No Exemptions Flu Vaccine: Required - Medical Exemptions Only Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : 6 Charting System Experience : Required Charting System Name : Community Hospital Experience : Preferred LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, Chemo (ONS/ONCC), OCN*, ONS Chemotherapy/Immunotherapy CertificateSkills : Accessing/Managing Ports, Active Immunotherapy Specific/Non Specific, Acute Tumor Lysis Syndrome (ATLS), Administration of blood & blood products, Administration of chemotherapy, Administration of coagulation factors, Anaphylaxis, Antibiotics, Antiemetics, Antifungals, Antitumor, Antivirals, Bladder/Kidney Cancer, Body fluid handling post Chemotherapy, Brain cancer, Breast Cancer, Care and management of ports, Care coordination*, Central line blood draw, Central Line/Implanted Line Care, Colorectal Cancer, Constipation/diarrhea*, Continuous Infusion of chemotherapy, Corticosteroids, Cytotoxic Therapy, Ear/Nose/Throat Cancers, Extravasation injury, Hemorrhage, Hormonal therapy, Infusion Center, Infusion pump management, Inpatient oncology*, Intravenous hydration/multivitamins, IV push administration of chemotherapy, IV push narcotic agents*, Kidney Cancer, Leukemia/Blood Dyscrasias, Liver Cancer, Lung cancer, Lymphoma/Non-Hodgkins lymphoma, Management/disposal cytotoxic spills, Melanoma, Monitoring Chemotherapy, Multiple Myeloma, Nausea/vomiting*, Neupogen, Neuropathy*, Neutropenic precautions, Oral Administration of chemotherapy, Outpatient oncology*, Ovarian Cancer/Uterine Cancer, Pancreatic Cancer, Patient/Family education and support, Phlebotomy skills*, PICC line care, Prostate Cancer, Recognize/ communicate abnormal lab values, Recognize/manage side effects, Sepsis, Spinal Cord Compression, Starting and maintaining IVs Unit Details Staffing & Scheduling Scheduling Type : block Patient Ratios Days : 6 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : 12 Pre-Approved Time Off : one Orientation Hours : 32 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : 32 Number of Visits Per Day : - Number of Rooms : - Number of Beds : 12 Additional Unit Information Interdisciplinary Support : Interpretation Services, Phlebotomy, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary Patient Diagnoses : Hematology and oncology, non-oncology: asthma/allergy, GI, rheumatology, MS, etc. 4/9 HR 8:00-17:30 AVG DAILY CENSUS: 32 BEDS: 12PATIENT AGE GROUP- ADULTS - GERIATRICS PATIENT RATIOS- 1:6 MEDICATION SYSTEM - OMNICELL DOCUMENTATION SYSTEM: CERNER AND INTELLIDOSE PATIENT DIAGNOSES - Hematology and oncology, non-oncology: asthma/allergy, GI, rheumatology, MS, etc.

New!

Attleboro, MAToday
  • $2,400–$2,400

Modified 7:00:00 AM Account Manager: Anson Frederick Account Manager Email: COVID-19 Vaccine: Required - No Exemptions Flu Vaccine: Required - Medical Exemptions Only Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : 6 Charting System Experience : Required Charting System Name : Community Hospital Experience : Preferred LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, Chemo (ONS/ONCC), OCN*, ONS Chemotherapy/Immunotherapy CertificateSkills : Accessing/Managing Ports, Active Immunotherapy Specific/Non Specific, Acute Tumor Lysis Syndrome (ATLS), Administration of blood & blood products, Administration of chemotherapy, Administration of coagulation factors, Anaphylaxis, Antibiotics, Antiemetics, Antifungals, Antitumor, Antivirals, Bladder/Kidney Cancer, Body fluid handling post Chemotherapy, Brain cancer, Breast Cancer, Care and management of ports, Care coordination*, Central line blood draw, Central Line/Implanted Line Care, Colorectal Cancer, Constipation/diarrhea*, Continuous Infusion of chemotherapy, Corticosteroids, Cytotoxic Therapy, Ear/Nose/Throat Cancers, Extravasation injury, Hemorrhage, Hormonal therapy, Infusion Center, Infusion pump management, Inpatient oncology*, Intravenous hydration/multivitamins, IV push administration of chemotherapy, IV push narcotic agents*, Kidney Cancer, Leukemia/Blood Dyscrasias, Liver Cancer, Lung cancer, Lymphoma/Non-Hodgkins lymphoma, Management/disposal cytotoxic spills, Melanoma, Monitoring Chemotherapy, Multiple Myeloma, Nausea/vomiting*, Neupogen, Neuropathy*, Neutropenic precautions, Oral Administration of chemotherapy, Outpatient oncology*, Ovarian Cancer/Uterine Cancer, Pancreatic Cancer, Patient/Family education and support, Phlebotomy skills*, PICC line care, Prostate Cancer, Recognize/ communicate abnormal lab values, Recognize/manage side effects, Sepsis, Spinal Cord Compression, Starting and maintaining IVs Unit Details Staffing & Scheduling Scheduling Type : block Patient Ratios Days : 6 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : 12 Pre-Approved Time Off : one Orientation Hours : 32 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : 32 Number of Visits Per Day : - Number of Rooms : - Number of Beds : 12 Additional Unit Information Interdisciplinary Support : Interpretation Services, Phlebotomy, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary Patient Diagnoses : Hematology and oncology, non-oncology: asthma/allergy, GI, rheumatology, MS, etc. 5/8 HR 8:00-16:30 OR 09:00-17:30AVG DAILY CENSUS: 32 BEDS: 12PATIENT AGE GROUP- ADULTS - GERIATRICS PATIENT RATIOS- 1:6 MEDICATION SYSTEM - OMNICELL DOCUMENTATION SYSTEM: CERNER AND INTELLIDOSE PATIENT DIAGNOSES - Hematology and oncology, non-oncology: asthma/allergy, GI, rheumatology, MS, etc.

Tiverton, RI30+ days ago

Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation .

Dedham, MA30+ days ago

Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation .

CT30 days ago

Implements care plans and coordinates resources to achieve identified goals, including referring patients to appropriate providers, serving as a liaison between patients, the healthcare team, and external partners, and assisting patients in navigating the healthcare system.

Registered Nurse, Case Manager Job Summary:

As an RN Case Manager, you will be a vital member of a collaborative, interdisciplinary team responsible for identifying and addressing case management needs in partnership with patients, significant others, payors, and the healthcare team.

Dedham, Massachusetts14 days ago

Routinely assesses patients’ response to plans of care and performs comprehensive assessments, hospice aide supervision, and coordination/oversight of hospice services provided in assisted living, LTC, SNF and hospital settings. Hospice will complete the continuum of outstanding care delivered by Hebrew SeniorLife, an integrated, eight-site system of health care, housing, research and teaching that serves thousands of seniors in the Greater Boston area and beyond and has been a nationally-recognized industry leader for over a century.

Braintree, MA15 days ago
  • $98,000–$108,000 Per Year

At Continuum Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs-it's about bringing dignity, peace, and human connection to every life we touch.

  • Nurturing Direct Care: As an RN Case Manager, you''re not just coordinating care - you''re a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount.

  • Warwick, RI20 days ago

    p style="text-align:center">Saint Elizabeth Home Care employees work one-on-one with our clients in their homes, creating the opportunity to develop truly impactful relationships and provide meaningful quality care through the power of human connection. The Registered Nurse (RN) Case Manager - Home Care conducts nursing visits to include admissions, revisits, and discharges while providing assessments and education to patients.

    Warwick, RI19 days ago
    • $90,000–$100,000 Per Year

    Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis.

    New!

    Braintree, Massachusetts1 day ago
    • $98,000–$108,000 Per Year
    • Full-time

    At Continuum Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch. Nurturing Direct Care: As an RN Case Manager, you're not just coordinating care – you're a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount.

    Braintree, MA16 days ago
    • $51–$55

    li>Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.

  • Client-facing field staff and community liaisons require frequent travel to client homes or community settings; ability to drive safely; work in client homes may involve varying temperatures, odors, allergens, pets, and other environmental factors.

  • Warwick, RI16 days ago
    • $85,800–$98,000 Per Year

    p>Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.

  • Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.

  • Warwick, RI16 days ago
    • $85,800–$98,000 Per Year

    p>Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.

  • Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.

  • Warwick, RI13 days ago
    • $85,800–$98,000 Per Year

    p>Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.

  • Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.

  • Warwick, RI30+ days ago
    • $85,800–$98,000 Per Year

    p>Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home.

  • Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.

  • Hingham, MA30+ days ago
    • $44.12–$53.93 Per Hour

    An employees pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. The Clinical Care Manger will engage members in appropriate plans of care, coordinate care and services as appropriate, communicate effectively and provide members with education and resources as needed.

    Dedham, Massachusetts30+ days ago

    Routinely assesses patients response to plans of care and performs comprehensive assessments, hospice aide supervision, and coordination/oversight of hospice services provided in assisted living, LTC, SNF and hospital settings. The philosophy of the Hospice is rooted in Hessed (loving kindness), and Kevod HaBeriyot (honoring life), but Hebrew SeniorLife Hospice Care is open to anyone regardless of religious affiliation; our mission is informed by Jewish values that are shared across many faith traditions and spiritual belief systems.

    Attleboro, MA8 days ago

    p>Profession: Nurse (RN) - Case Management (Case Manager).

    By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes.

    Sturdy Memorial Hospital logo

    Attleboro, MA30+ days ago
    • $42.86–$66.80 Per Hour

    p>Required Skills/Qualifications/Training/Experience:

    • Minimum 3-5 years acute care case management experience, with demonstrated skills in utilization review • Demonstrated ability to use critical thinking and problem solving skills in facilitating safe and timely patient transitions of care • Excellent communication skills and positive interpersonal dynamic in working with a variety of stakeholders across the care continuum • Solid knowledge of all insurance plan regulations including CMS/Medicaid to ensure compliance with all required processes and documentation • Ability to garner and utilize information effectively to develop and modify patient plan of care • Strong analytical ability to interpret patient-related information, evaluate appropriateness of continued stay and/or need for ancillary services, and to reassess discharge planning needs based on daily assessment • Ability to successfully utilize industry accepted utilization and or medical management criteria in patient status decision making • Self-starter able to function independently within the scope of position and licensure, as well as department policies and established goals • Excellent computer skills to accurately document requisite information to support patient status and medical necessity.

    Physical Demands:

    • Ability to sit (may be for long periods of time) • Ability to stand, reach and lift up to 15 pounds • Ability to readily travel to units/departments across the system • Ability to communicate effectively with all stakeholders, in person as well as via telephone and electronically • Ability to interact directly with patients, with potential for direct exposure to patient care activities • Ability to document and use trackers, analyze charts and coordinate services within the electronic health record • Ability to advocate for patients both internally and external to the system • Ability to attend and participate professionally in meetings with Hospital leaders, physicians, patients and families.

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