Overview
Job Description
POSITION SUMMARYAssume primary responsibility of cases for documentation of appropriate medical necessity for the inpatient and/or observation status in the acute hospital setting.DUTIES AND RESPONSIBILITIESCommunications with physician, ancillary staff, and payers and assists in arranging transfers or alternate placement when indicated
Assures proper level of care assignment. Facilitates with Case Managers and other allied health professionals to promote and ensure that quality care is provided, and outcomes are achieved in a timely and cost-effective manner
Supports hospital goals and objectives in compliance with regulatory guidelines
Works in collaboration with all healthcare disciplines to assure a continuum of appropriate and timely services
Assess appropriateness, quality, and cost effectiveness of proposed hospital, medical and corporate goals and objectivesEXPERIENCE AND EDUCATIONPrefer a minimum of four years' experience in hospital setting
One-year experience in utilization management/case management is preferred
Case Manager must be a graduate of an accredited school of Nursing, Health Information Management, or Social WorkRN preferred
Please indicate whether you have ever been convicted of a crime, including any misdemeanors and/or DUI/DWI. (Criminal conviction(s) will not automatically exclude you from consideration for employment).
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