Registered Nurse, Homecare (Part Time)
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Care New England Health System
Warwick, RI, US
Summary
The RN Case Manager is responsible for analyzing medical records to ensure appropriate utilization of resources and accurate billing. They also monitor the quality of services rendered and coordinate discharge planning for patients.
Job Description
Job Summary
Responsible for analyzing medical records for the preparation of attestments used in billing and responsible for determining the appropriate level of care, quality care delivered and resource management.
Duties & Responsibilities
- Analyze patient’s medical record for proper utilization or resources(beds and services) and accurate payment.
- Develop the Hospital data base for case management and severity implications.
- Analyze patient’s charts for quality of services rendered and intervene to assure the delivery of quality care.
- Communicate to patient and/or patient’s family as necessary regarding the medical necessity of hospital stay.
- Communicate to appropriate departments to accurately determine level of care at discharge as well as participate in discharge planning.
- Performs all other related duties as assigned.
Requirements
- Bachelor’s Degree in Nursing and a minimum of five year’s job-related experience or equivalent is required.
- An RN license is also required.
About Us
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.
EEO Statements
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
Care New England Health System (CNE) is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and the communities we serve.
CNE and its member institutions—Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, and The Providence Center—are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Backed by a broad range of services—primary care, surgery, cardiovascular care, oncology, psychiatry, behavioral health, newborn pediatrics, and the full spectrum of women’s health services—CNE is reinventing the way health care is delivered, partnering with our patients to provide the best care possible while working to create a community of healthier people.
Company size
5,001-10,000 employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Providence, Rhode Island
Care New England Health System (CNE) is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and the communities we serve.
CNE and its member institutions—Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, and The Providence Center—are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Backed by a broad range of services—primary care, surgery, cardiovascular care, oncology, psychiatry, behavioral health, newborn pediatrics, and the full spectrum of women’s health services—CNE is reinventing the way health care is delivered, partnering with our patients to provide the best care possible while working to create a community of healthier people.
Company size
5,001-10,000 employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Providence, Rhode Island