RN Case Manager Job at St. Christopher’s Hospital for Children
St. Christopher’s Hospital for Children Philadelphia, PA 19107
Overview
About St. Christopher's Hospital for Children
St. Christopher's Hospital for Children, a partnership between Tower Health and Drexel University, is a 188-bed facility that provides exceptional care to children throughout the Greater Philadelphia area and surrounding counties.
St. Christopher's has more than 220 pediatric experts on staff, combining top-notch pediatric care with a wide array of pediatric specialties including Cardiology, Ear, Nose and Throat, Gastroenterology, Oncology, and Orthopedics. It houses the only Verified Pediatric Burn Center between New York City and Baltimore and is one of only three Level I Pediatric Trauma Centers in Pennsylvania. St. Christopher's is a Magnet® designated hospital and was recognized as a Women's Choice Award Best Children's Hospital.
In addition to its main location in Philadelphia, the hospital has a growing network of primary and specialty care locations throughout the Philadelphia suburbs and New Jersey so your child's health conditions can be treated close to home.
Responsibilities
The RN Case Manager (for Newborn and CPC Program) coordinates, manages and procures the discharge needs of patients identified as requiring post acute care services via initial admission screen, assessment and consults. This is achieved by collaboration with the family, the care team including physicians, nursing and other healthcare professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers to secure appropriate acute care reimbursement within the time requirements of the payer. The Case Manager appeals 100% of all third party payer denials for acute care reimbursement according to the guidelines for PA Region. The Case Manager performs ongoing PI/QA during concurrent review to identify quality of care issues, risk management issues, and performs blood/blood products and medication utilization.
#PPSTC
#LI
#SCRN
Qualifications
Education Requirements
Experience
Certification and Licensure
Required Skills
About St. Christopher's Hospital for Children
St. Christopher's Hospital for Children, a partnership between Tower Health and Drexel University, is a 188-bed facility that provides exceptional care to children throughout the Greater Philadelphia area and surrounding counties.
St. Christopher's has more than 220 pediatric experts on staff, combining top-notch pediatric care with a wide array of pediatric specialties including Cardiology, Ear, Nose and Throat, Gastroenterology, Oncology, and Orthopedics. It houses the only Verified Pediatric Burn Center between New York City and Baltimore and is one of only three Level I Pediatric Trauma Centers in Pennsylvania. St. Christopher's is a Magnet® designated hospital and was recognized as a Women's Choice Award Best Children's Hospital.
In addition to its main location in Philadelphia, the hospital has a growing network of primary and specialty care locations throughout the Philadelphia suburbs and New Jersey so your child's health conditions can be treated close to home.
Responsibilities
The RN Case Manager (for Newborn and CPC Program) coordinates, manages and procures the discharge needs of patients identified as requiring post acute care services via initial admission screen, assessment and consults. This is achieved by collaboration with the family, the care team including physicians, nursing and other healthcare professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers to secure appropriate acute care reimbursement within the time requirements of the payer. The Case Manager appeals 100% of all third party payer denials for acute care reimbursement according to the guidelines for PA Region. The Case Manager performs ongoing PI/QA during concurrent review to identify quality of care issues, risk management issues, and performs blood/blood products and medication utilization.
#PPSTC
#LI
#SCRN
Qualifications
Education Requirements
- 4 year/Bachelor's Degree
Experience
- Relevant Experience
Certification and Licensure
- PA Registered Nurse License
- CPR Certification
Required Skills
- Computer Skills to include use and navigation
- Excellent Communications Skills
- Excellent Interpersonal Skills
- Microsoft Word
Please Note :
apexdining.ca is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, apexdining.ca provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.