Job Description

Functions independently and collaboratively to assure appropriate utilization of resources for patients across the continuum of care. Responsible for facilitating a timely and effective discharge plan in collaboration with the patient/family physician and other care givers. Coordinates patient care across an episode of care.

MINIMUM REQUIREMENTS

Education & Experience:

1. An Associate Degree or Diploma RN with a minimum of five years acute care clinical experience or two years case management experience.
2. Preference is given to registered nurses with a bachelor or master degree in nursing and previous utilization management experience.

Knowledge, Skills, Abilities:

1. Knowledge of hospital admitting procedures, health care legislation and government/regulatory health related agencies.
2. Demonstrates an ability to communicate effectively and express ideas clearly; actively listens.
3. Works well with others to solve interpersonal conflicts and problems without need of superiors.
4. Demonstrates an ability to identify and solve problems.
5. Computer skills are desirable.

License/Certification/Registration:

1. If training is in Nursing, incumbent must be licensed as a Registered Nurse in the State of Pennsylvania.
2. Meets the American Heart Association’s standards for Healthcare Provider Basic Life Support (BLS) and renews BLS every two years.

SUPERVISION RECEIVED

Receives minimum supervision from the Director, Population Health and Case Management. Functions independently; seeks guidance when necessary.

SUPERVISION GIVEN

None