At Peak, we recognize the training and experience that goes into becoming an experienced Case Manager. We know that deep down, helping patients emerge successfully from their inpatient stays isn't just a project for good case managers—it's a rewarding career. Our employees have a unique opportunity to work for some of the nation's top hospitals including teaching facilities and high-acuity level sites.
We provide ongoing training to ensure our employees receive regulatory updates, information on new procedures and guidance on current trends.
An RN Case Manager must be able to multitask and handle numerous responsibilities throughout each
day. They must also be effective communicators with patients, families, doctors, and insurance providers; capable of understanding and explaining the features of Medicare, Medicaid, and other insurance options. In-depth knowledge of health care services and medical terminology is a requirement as well.
Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team and patient's healthcare benefactor to optimize outcomes. Serves as a consultant to the healthcare team on specific patient items. Coordinates a continuum of care for a defined population of patients from pre-admission through post discharge. Assures that patients and families proceed efficiently through the course of hospitalization.
Organizational Expectations Adheres to the Adventist Health Mission, Vision and Values statements. Complies with behavioral standards, policies, procedures and handbooks established by the organization and their respective ministries. Abides by the guiding principles of the Code of Conduct. Essential Functions Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care. Ensures the interdisciplinary care plan is consistent with the patient’s clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care. Discusses with physicians, the appropriateness of resource utilization, consultations, treatment plan, estimated length of stay, and discharge plan. Focuses on complex patients, frequent emergency department utilizers, chronic pain patients, substance abuse Coordinates the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services. Provides oversight and collects data required for regulatory and accreditation compliance. Manages frequent emergency department visitors by conducting a focus study review of the previous and current admissions. Performs other job-related duties as assigned.
Peak Health Solutions, an AMN Healthcare company, is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply