Monday, March 31, 2025 In Person Student Nurse Appreciation Event

WellSpan York Hospital

2:00 p.m. – 3:30 p.m.

Learn more about being a new graduate nurse at WellSpan.

MAR312025 In Person Student Nurse Appreciation Event

WellSpan York Hospital

General Summary

Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to support the provision of appropriate, cost effective and quality health care. Works in a team type assignment or Care Coordination Team (CCT) Model (Case Manager and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides leadership in the integration of utilization and case management principles throughout the hospital.

Duties and Responsibilities

Performs initial reviews for medical necessity and appropriateness of setting for the assigned case load. Conducts concurrent reviews to ensure medical necessity for continued hospitalization and initiates problem-solving techniques as needed to prevent over and/or under utilization. Liaisons between third party payers and the treatment team regarding the identified treatment plan in accordance with contractual guidelines or System policy. Assists the patient care team with the identification and coordination of alternative treatment settings which will provide appropriate care, maintain quality of care and reduce cost. Identifies conditions which require case management across the continuum. Collaborates with the members of the patient care team to identify interdisciplinary needs. Makes arrangements for discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families and care team as needed. Assists with the collection and analysis of utilization patterns and denied cases. Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s). Prepares and maintains appropriate documentation as required. Maintains established policies and procedures, objectives, quality assessment and safety standards. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Performs other related duties as identified. WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program. WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

Qualifications

Minimum Education:

Associates Degree Required

Work Experience:

2 years Recent acute care experience. Required Utilization management, case management, or clinical nursing specialty. Preferred

Licenses:

Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required

Courses and Training:

Clearance per Child Protective Services law (11P.S. 2201) amended by PA Act 33 of 1985. Upon Hire Required

Knowledge, Skills, and Abilities:

Excellent interpersonal/communication skills. You’re unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at . We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.