Department: Care Facilitation Services – York Hospital
Schedule: Per Diem
Shift: Day Shift
Hours: 8 to 4:30 (flexible)
At York Hospital, we're more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.
York Hospital, We are a Community. For Life.
We currently have an opportunity for an experienced RN Care Manager. The RN Care Manager will coordinate concurrent utilization management activities house-wide and is the main link between the patient, health care team, organization, and payors during the patient's hospital stay.
Coordinate with the appropriate manager(s) on a daily basis to assess the inpatient census for appropriate alternative health care service needs.
Utilizes pre-approved criteria and guidelines to validate medical necessity of continued stay and appropriateness of treatment and discharge planning.
Predicts and plans for patient's needs from pre-admission, through acute and sub-acute care and post-discharge, in collaboration with the member and providers.
Monitors and facilitates appropriate utilization of resources using evidenced-based clinical criteria.
Participates in an interdisciplinary health care team to achieve positive member outcomes
Functions as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options.
In order to help us continue to provide exceptional care, we're looking for you to have these skills:
2 or more years of Utilization Review experience
An active RN License
BLS Certification. BSN is preferred.