Description

Coordinates with physicians, staff, and other providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.

-Performs daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care and readiness for discharge.

-Escalates utilization and system problems which have not been resolved immediately.

-Monitors the progression of the plan of care and facilitates discussions with the multidisciplinary teams.

-Educates other healthcare team members on utilization and cost containment initiatives.

-Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care.

-Issues denial/notices of non-coverage letters after conferring with physicians.

-Ensures continuity of care for outside services for the patient.

-Monitors level of care.

-Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social services, and other healthcare providers and agencies.

-Monitors care processes and participates in the development and implementation of guidelines, pre-printed physician orders, care paths, etc. for patient care.

Required Skills

RN - State of GA or Compact required

4+ years inpatient care experience

2+ years of Case Management ideally in a hospital setting

Additional Skills & Qualifications

The successful Inpatient Case Manager will have excellent interpersonal and organizational skills, be a strong communicator, and possess the ability to think critically and problem-solve

To be considered for this role you must possess a Registered Nurse (RN) license in the state of Georgia, a minimum of two years of case management experience, and experience in utilization review or quality assurance.

Experience Level

Intermediate Level

Pay and Benefits

The pay range for this position is $35.00 - $50.00

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.