POSITION SUMMARY:
The Care Manager provides a link between provider and payer organizations, physicians and the community in the transition of patient care through the health care system. Monitors all admissions for the appropriateness of observation services or inpatient hospitalization, according to InterQual criteria. Utilizing the nursing process, identifies patients with discharge planning needs and coordinates necessary services in the home or nursing facility setting. Coordinates patient care by using independent nursing judgment and working collaboratively with the interdisciplinary team. Communicates, as appropriate, the patient's clinical condition and care needs. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Professional knowledge and judgment will be utilized when guidelines are unavailable or inappropriate for a given situation. Promotes the profession of nursing and professional practice through collegial support and interactions. Is primarily assigned to one hospital, but will be required to provide coverage at the other hospital as needed. Reports to the Manager of Care Management.

Qualifications:

EDUCATION/CERTIFICATION
• Graduate of an accredited school of Nursing
• Baccalaureate degree in an applicable field required.
• Must have a current license as a Registered Nurse in the State of Connecticut.
• Professional certification in case management or clinical specialty is preferred.
EXPERIENCE
• Must have at least five (5) years of nursing experience in a medical surgical acute care setting
• Additional experience in case management, home care, and utilization review/management is preferred.
COMPETENCIES
• Requires good analytical, organizational and interpersonal skills as well as the ability to communicate effectively in English, both verbally and in writing.
• A basic proficiency in personal computers is required.