Cmc Reviewer Jobs in Delaware (NOW HIRING)

RN Case Manager - Day Shift

M-F (Hours: 8a-4:30p with call rotation every 7 weeks) No Holidays or Weekends!

Newark, DE

External Candidates are Eligible for a 10K Sign-on Bonus!

Christiana Care Hospital in Newark, DE is looking for a (RN) Case Manager with experience in Discharge Planning in an Acute Care Hospital Setting.

The RN Case Manager will coordinate care and drive patient progression to establish a discharge plan. This includes functioning as an interdisciplinary team member, creating, implementing, and developing all aspects of discharge planning to establish appropriate, timely, and effective transitions throughout the care continuum.

The Care Management Model: 

Our Care Management Triad Team Model is a collaboration between the following:

• RN Case Manager - Manages patient care, drives patient progression, and establishes a discharge plan.
• Social Worker – Resolves psycho-social barriers and supports discharge needs.
• Utilization Management – Reviews patient status for appropriateness and anticipated payer coverage.

CARE MANAGEMENT:

• Identify patients who have post-acute care, placement, and complex discharge planning needs based on a comprehensive assessment that includes physical, as well as psycho-social factors/needs.
• Anticipate, initiate, and establish a discharge plan for patients with post-acute care needs, collaborating with the physician, nurse, and other health care providers, the patient, their family/primary caregiver(s), third-party payers, and employer following established clinical guidelines, standards, and pathways.

• Review the admission assessment and collaborate with the primary nurse and other health care providers to ensure a multidisciplinary care plan is in place to meet identified patient care needs and desired outcomes.
• Identify system issues that serve as barriers to care.  Participates in the development and implementation of strategies to remove barriers and facilitate patient progression.

About Us

ChristianaCare is located in Delaware and is one of the country’s most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs.
ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,336 beds), a freestanding emergency department, a Level I trauma center, and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health. It also includes the pioneering Gene Editing Institute.
Christiana Care Offers

• Medical, Dental, Vision, Life Insurance, Tuition assistance, etc.
• Two retirement planning offerings, including 403(b) with company contributions.
• Generous paid time off with annual rollover and opportunities to cash out.
• 12-week paid parental leave
• Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

Education & Requirements

• An active RN license is required in DE or a Compact State.
• A Bachelor of Science in Nursing (BSN) is required.
• Candidates must have 3-5 years of acute care experience in a hospital setting.
• In-patient case management experience is preferred.   
• 3-5 years of Acute Care Experience is required.  
• Basic Life Support (BLS) certification is preferred.
• A Case Management Certification (CMC) must be obtained within 18 months of eligibility.

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.