The Surgical Institute of Reading (SIR), an affiliate of United Surgical Partners International, offers a high quality, service oriented environment for surgical patients. SIR ranked in the top 100 hospitals for total joint replacement for five years and for spine surgery for the last two years.  Our state-of the art facility has four operating rooms and one procedure room, allowing surgeons to perform procedures in the specialty areas of:

Anesthesia, Gynecology, Orthopedic, Orthopedic Foot & Ankle, Pain Management, Plastic Surgery, Podiatry, General and Spinal Surgery.

JOB SUMARY        

 Facilitates progress through the continuum of care, from admission through discharge.  Provides feedback to payors on patient's clinical status and secures approvals for additional days of stay.  Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators.  Evaluates patients for discharge planning needs and appropriately directs the patient's care.  Monitors resource consumption for most effective use and cost control.  Identifies teaching and psychosocial concerns for the best patient outcomes.  Assists in aggregating data for quality trending and quality improvement.  Assists in Infection Control surveillance.  Functions as a Patient Advocate to assist patients in resolving concerns.

 *** $17, 500 sign on bonus available***

#L1-MD1

RESPONSIBILITIES

 General:

 The Case Manager works with all departments to ensure appropriate patient care.

1. Is able to work effectively with insurance co., Medicare etc in making sure that we are paid appropriately for the patient care services we provide.
2. Keeps the Chief Financial Officer and CNO aware of any problems that have occurred in any area of patient care.
3. Works with the physician's office to ensure that we have the correct status for the patient and that the patient received the correct post discharge care.
4. Serves as a resource to Senior Management.
5. Participates and reports on Utilization review at all CQI meetings.
6. Manages LOS appropriately to patient care needs.
7. Manages avg daily census appropriately to patient care needs.
8. Reviews all inpatient denials for potential peer to peer appeal.
9. Attends all USPI case management calls.
10. Attends Quality calls when available.
11. Demonstrates ability to prioritize tasks and demonstrates flexibility as job priorities change, willing to take on new work routines/methods.
12. Communication is clear and concise, free of gossip, respectful, confidential, friendly and courteous.

Licensure as a Registered Nurse in the State of Pennsylvania

Bachelor's of Nursing required

Demonstrates ability to stand and/or walk at five hours per day

Current BLS Certification

Current ACLS & PALS Certification

Minimum five (5) years acute care experience required

Previous case management experience preferred

Lifting < 20 lbs

Pushing < 20 lbs

Stooping/kneeling - infrequent

About United Surgical Partners International, Inc

United Surgical Partners International (USPI), a subsidiary of Tenet Healthcare Corporation (NYSE: THC), operates the largest ambulatory platform in the country. With more than 465+ facilities across the United States, the company serves patients in ambulatory surgery centers and surgical hospitals. For more information, please visit www.uspi.com. USPI’s mission is simple, but the gravity of it is profound. We care for every patient and their family as if they were our own. Each patient, each family, each and every time.

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