Collaborates with hospitals and skilled nursing facilities to pursue cost-effective, quality-focused management interventions
Responsible for providing ongoing communication with patients, continuing care coordinators, social workers, and physicians
Assists in facilitating discharge planning for Integra ACO patients
Completes all documentation in a timely manner in Epic
Engages in process improvement activities to promote positive clinical and quality outcomes
Requirements
Registered Nurse with bachelor's degree in nursing or equivalent
Masters Degree preferred
Certification in Case Management with current RN Rhode Island license
Minimum of 5 years related clinical Acute Care or Case Management experience required
Knowledge of utilization review, quality assurance, discharge planning, third party payer regulations and community health
Experience demonstrating high level of interpersonal skills, both oral and written, analytical skills, leadership abilities and effectiveness within a team environment