Gettysburg, PA, US
16 hours ago
Case Management Nurse - PRN
Tuesday, February 18, 2025 Virtual East Region – Nursing Hiring Event

Multiple Locations

10:00 a.m. – 4:00 p.m.

Learn more about Registered Nurse and Graduate Nurse opportunities at WellSpan's Ephrata Community Hospital and Good Samaritan Hospital locations.

FEB182025 Virtual East Region – Nursing Hiring Event

Multiple Locations

Monday, March 31, 2025 In Person Student Nurse Appreciation Event

WellSpan York Hospital

2:00 p.m. – 3:30 p.m.

Learn more about being a new graduate nurse at WellSpan.

MAR312025 In Person Student Nurse Appreciation Event

WellSpan York Hospital

Provides inpatients with a smooth transition from one level of care to another while meeting the physical, psychosocial, medical, and economic needs of the patient and family. Recognizes and ensures that patients are informed of their choices throughout the development of their plan of care; advocating for prompt, accurate, quality, appropriate care with realistic discharge planning. In addition, the Case Management RNs and Social Workers are part of a care coordination team providing support across the continuum to WellSpan Medical Group primary care practice patients.

PRN - 24 Hours in a 6 week period

8am-4pm

General Summary

Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to support the provision of appropriate, cost effective and quality health care. Works in a team type assignment or Care Coordination Team (CCT) Model (Case Manager and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides leadership in the integration of utilization and case management principles throughout the hospital.

Duties and Responsibilities

Performs initial reviews for medical necessity and appropriateness of setting for the assigned case load. Conducts concurrent reviews to ensure medical necessity for continued hospitalization and initiates problem-solving techniques as needed to prevent over and/or under utilization. Liaisons between third party payers and the treatment team regarding the identified treatment plan in accordance with contractual guidelines or System policy. Assists the patient care team with the identification and coordination of alternative treatment settings which will provide appropriate care, maintain quality of care and reduce cost. Identifies conditions which require case management across the continuum. Collaborates with the members of the patient care team to identify interdisciplinary needs. Makes arrangements for discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families and care team as needed. Assists with the collection and analysis of utilization patterns and denied cases. Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).

Common Expectations:

Prepares and maintains appropriate documentation as required. Maintains established policies and procedures, objectives, quality assessment and safety standards. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

Associates Degree Required

Work Experience:

2 years Recent acute care experience. Required Utilization management, case management, or clinical nursing specialty. Preferred

Licenses:

Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required

Courses and Training:

Clearance per Child Protective Services law (11P.S. 2201) amended by PA Act 33 of 1985. Upon Hire Required

Knowledge, Skills, and Abilities:

Excellent interpersonal/communication skills. You’re unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at . We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.

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