Case Manager, Case Management Department, Full Time, Day Shift, Job ID: 1717540

Palmetto General HospitalHialeah, FL

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Job Description

Position Summary

Performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources of all patients reviewed. Maintains confidential communication with physicians and multi-disciplinary personnel to meet individual needs or the patients served. Functions as an independent contributor as well as a team member.

Position Qualification:

Communication is an essential skill requiring the ability to see, hear, and speak. Fluent in written and spoken English. Must be able to fulfill the essential functions of the position. Possess three or more years of acute care hospital experience preferred. Familiar with the operations of the healthcare industry and healthcare delivery systems. Able to use the medical record in order to obtain clinical information to perform Interqual reviews. Utilize Outlook, and the computer based systems (AllScripts) to perform reviews. Work experience in Medical-Surgical, Telemetry, Critical Care, and/or Pediatrics, NICU preferred.

Required License/Certifications:

Current Florida RN Licensure.Must possess a solid clinical background to accomplish extensive Medical Record review.Computer skills preferred

Communication Skills:

Ability to effectively communicate in writing and orally with all levels of the organization

Must clear background and drug test required.

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FAQs About Case Manager, Case Management Department, Full Time, Day Shift, Job ID: 1717540 Jobs at Palmetto General Hospital

What is the work location for this position at Palmetto General Hospital?

This job at Palmetto General Hospital is located in Hialeah, FL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Palmetto General Hospital?

Employer has not shared pay details for this role.

What employment applies to this position at Palmetto General Hospital?

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