Case Manager RN (NonExempt) - SCPA Social Work Services - Suburban Community Hospital

Overview:

At Suburban Community Hospital, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Suburban Community Hospital is actively seeking new members to join its award-winning team!

 

Suburban Community Hospital, a not-for-profit hospital, is part of Prime Healthcare's Pennsylvania Region. Prime Healthcare Pennsylvania Region includes Roxborough Memorial Hospital in Philadelphia, Lower Bucks Hospital in Bucks County, and Suburban Community Hospital in Montgomery County.

 

Prime's hospitals in Pennsylvania are certified by The Joint Commission as Primary Stroke Centers and have won multiple awards through Healthgrades and the Get With The Guidelines Quality Achievement Awards though the American Heart Association. Our hospitals offer medical, surgical, and emergency care, which includes diagnostic radiology, lab services, behavior health, heart care, rehabilitation, family medicine, wound care, and residency programs.

 

Through high quality medical care, educational programs, and community outreach services, our hospitals treat all members of our communities with respect and compassion. For more information about Suburban Community Hospital, please visit www.suburbanhosp.org.

 

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities:Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.Qualifications:Education and Work Experience

1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
4. Current BCLS (AHA) certificate, preferred.
5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
6. Experience and knowledge in basic to intermediate computer skills.
7. Behavioral Violence Prevention Training within 3 months of hires and maintain current.