Assists in planning, developing, and organizing the operations of the Case Management Department regarding the implementation of utilization management, coordination of care activities, quality improvement and case management activities in order to meet the requirement of The Joint Commission, state and local regulatory and/or accrediting agencies. Obtains pre-certification from third party payors as required. Performs all admission/continued stay reviews for appropriateness of acute hospital level, assessing quality of services as the patient moves through the continuum of care. Establishes and implements safe, comprehensive discharge plans to meet individual patient/family needs. Communicates with the interdisciplinary team and community resource representatives in planning for the patient's transition to post-hospital care.

EDUCATION REQUIREMENTS:
Registered Nurse with previous case management experience required
Successful completion of Case Management Certification Program preferred

EXPERIENCE:
Prior work in a community health, home health, or acute care or critical access hospital setting.
Must possess a current, unencumbered license to practice in this state.

Marthas Vineyard Hospital and Windemere Nursing & Rehabilitation Center are Equal Opportunity Employers. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.