ReadingRecruiter
the smart solution for Reading jobs

RN Case Manager Part-Time - Sub-Acute Rehab

Company: Tower Health
Location: Reading
Posted on: February 14, 2019

Job Description:

Overview About the Organization Tower Health is a strong, regional, integrated healthcare provider/payer system that offers leading-edge, compassionate healthcare and wellness services to a population of 2.5 million people. Together, our six hospitals and other entities provide a full range of medical care from prevention, screenings & education; to the latest clinical services and surgeries available; to rehabilitation. We also offer wellness programs & public health services that ensure our communities are the healthiest they can be. Our caring, highly trained physicians and staff are committed to patient safety and patient satisfaction. With more than 11,000 team members, Tower Health includes Reading Hospital, a teaching hospital based in West Reading; Brandywine Hospital in Coatesville; Chestnut Hill Hospital, a teaching hospital in Philadelphia; Jennersville Hospital in West Grove; Phoenixville Hospital in Phoenixville; and Pottstown Hospital in Pottstown. We also operate Reading Hospital Rehabilitation at Wyomissing & Reading Hospital School of Health Sciences, & we have a comprehensive physician network. Collaboration across Tower Health enables our hospitals, providers, leadership & staff to leverage best practices across the health system. Our hospitals have received national recognition for advanced care in areas such as neurosurgery and stroke, cardiac & vascular surgery, trauma, hematology & oncology. Reading HealthPlex, which opened at Reading Hospital in October 2016, combines state-of-the-art technology and world-class design to make the HealthPlex one of the most sophisticated surgical centers & inpatient facilities in the region. At Tower Health, we have a rich history of providing high-quality, cost-effective care in the communities we serve. As the healthcare industry continues to change, one thing remains steadfast: Tower Health's commitment to Advancing Health, Transforming Lives. Responsibilities The Case Manager is a registered nurse responsible for coordinating the care and services for an assignedunit-based patient population. The Case Manager promotes quality of care, supports effective resourceutilization, and facilitates the patient's progression of care to proactively plan for the patient's safe and timelydischarge to the most appropriate level of care. The Case Manager serves as the key resource for thepatient's multi-disciplinary care team, and works collaboratively with all members of the patient's health careteam and patient representatives to achieve desired clinical, financial and quality outcomes. The CaseManager analyzes current systems and variances to prevent delays and identify opportunities forimprovement. Case Management is collaborative process, which assesses, collaborates, plans, implements, coordinates,monitors, and evaluates options and services to meet an individual's health needs through communicationsand available resources to promote quality, cost-effective outcomes. Case Management activates itsprocesses to secure the right service to the right patient at the right time at the right level of care. Work Schedule: 0 with an every other week rotation. You would be on M-F, and off the following week. A-B rotating schedule Interviews patients and families to assess for discharge needs. Screens for high risk patients and manages to that. Performs utilization function in accordance with InterQual standards, medicare regulations and payer contracts. This includes admission and concurrent reviews, seeking authorizations from payers as appropriate and referring cases to the Physician Advisor. Communicates determinations to all stakeholders. Argues denials assertively. completes peer to peer paperwork for the Pysician Advisor. Utilizes Case Management software to document UM process as well as dischare proc ess. Tracks avoidable days. Identifies barriers to treatment and can initiate a plan that supports optimal quality, cost and patient satisfaction. Qualifications Education Requirements:

  • High School Diploma or GED
  • RN from an accredited school of nursing
  • BSN (Preferred) Certification and Licensure Requirements:
    • Current active RN License in the state of PA
    • ACM or CCM (Preferred) Experience and Skills:
      • 3+ years of provider based case management experience
      • Payer or community-based Case Management experience will be considered

        Keywords: Tower Health, Reading , RN Case Manager Part-Time - Sub-Acute Rehab, Healthcare , Reading, Pennsylvania

        Click here to apply!

        Didn't find what you're looking for? Search again!

        I'm looking for
        in category
        within


Other Healthcare Jobs


Family Practice in PA - Family Medicine Physician Needed Close to a Big City in Pennsylvania
Description: Family Practice-Without OB opening in Harrisburg, Pennsylvania. This and other physician jobs brought to you by DocCafe.com A family medicine physician is
Company: CompHealth
Location: Harrisburg
Posted on: 02/22/2019

Unit Manager- RN
Description: Overview At New York Blood Center, one of the most comprehensive blood centers in the world, our focus is on cultivating excellence by merging cutting-edge innovation with diligent customer service, groundbreaking (more...)
Company: New York Blood Center
Location: New Brunswick
Posted on: 02/22/2019

RN/Cardiovascular Lab (130206)
Description: JOB CODE: 130206 RN/Cardiovascular Lab LOCATION: Berks County PA Join a strong regional integrated hospital system with a rich history of providing high-quality, cost effective care committed to advancing (more...)
Company: Veritas Global Consulting Group, LLC
Location: Lancaster
Posted on: 02/22/2019


Dentist
Description: Uniquely Attractive, Paid Part-Time Dentist Opportunity Smile Pennsylvania, a mobile dental company, is seeking a caring Dentist in the Harrisburg and surrounding areas to help provide dental in-school
Company: Mobile Dentists
Location: Harrisburg
Posted on: 02/22/2019

RELOCATION OPPORTUNITY: RN - Progressive Care: Winston-Salem
Description: Overview br Employer is seeking a Pulmonary nurse to work with a team that fosters growth, support and optimal care to both our patients and team members. Come join a remarkable team where quality care (more...)
Company: Novant Health
Location: Lancaster
Posted on: 02/22/2019

Dentist
Description: A clinic in Pennsylvania is seeking a dentist who can provide locum tenens coverage for one month from mid-March through
Company: Barton Associates
Location: Lancaster
Posted on: 02/22/2019

Family Practice in PA - Outpatient Primary Care Physician in Pennsylvania Capitol
Description: Family Practice-Without OB opening in Harrisburg, Pennsylvania. This and other physician jobs brought to you by DocCafe.com A hospital system with academics in Pennsylvania is looking to hire an internal (more...)
Company: CompHealth
Location: Harrisburg
Posted on: 02/22/2019

RN - Dialysis - Travel - CF
Description: 7a - 7p br Renal Dialysis
Company: Continuum Medical Staffing
Location: Lancaster
Posted on: 02/22/2019

Financial Sr Associate-Healthcare/Medicare
Description: Req ID: 53460BR Job Summary: Financial, Sr. Associate-Healthcare Advanced finance position performing complex assignments requiring advanced analytical and technical skills. Position may serve as Subject (more...)
Company: Aetna
Location: Harrisburg
Posted on: 02/22/2019

RN - Registered Nurse
Description: Client in PA seeking RN - OR - Main OR to work 8 Hour Days CoreMedical Group has hundreds of exciting and rewarding
Company: Core Medical Group
Location: Lancaster
Posted on: 02/22/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Reading RSS job feeds