Case Manager
About The Position
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Requirements
- Minimum 5 years' work experience post-graduation of an accredited school of nursing.
- Current state Registered Nurse license.
- At least one year experience in case management, discharge planning or nursing management.
- Experience and knowledge in basic to intermediate computer skills.
Nice To Haves
- Five years of acute care nursing experience.
- CCM or obtained within 1 year.
- Knowledge of Milliman Criteria and InterQual Criteria.
- Current BCLS certificate.
Responsibilities
- Quality and resource management of all admitted patients.
- Advocating for patients and promoting cost containment.
- Integrating health care providers for seamless care delivery.
- Facilitating and ensuring quality, clinical, and cost-effective outcomes.
- Performing holistic and comprehensive admission and concurrent review of medical records for medical necessity, intensity of service, and severity of illness.
Benefits
- Paid time off
- 401K retirement plan
- Medical coverage
- Dental coverage
- Vision coverage
- Tuition reimbursement
- Many more voluntary benefit options
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
