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Case Manager (PCC)

2020-07-04 USD 100 1000000 Contract 2020-08-03
  • Job Id:

    64577
  • Profession:

    Case Management
  • Hiring Organization:

    MedPartners
  • Employment Type:

    Contract
MedPartners
https://www.medpartners.com/wp-content/themes/medpartners_theme/assets/images/logo.svg
5810 Coral Ridge Drive, Suite 250 Coral Springs FL 33076 USA
customer support [+954-656-8600] HQ@medpartners.com
  • Specialty:

    Floor CM
  • 321 Main St.

    Location:

    Manteca, CA 95336MantecaCA
  • Start date:

    07-20-2020
  • Salary:

    call for details

Description

Acute Care RN Case Manager

At AMN Revenue Cycle Solutions, we value the role each team member plays in helping us deliver on our mission of making life better for our healthcare facilities. We take pride in providing a rich and rewarding career opportunities that enable team members to reach their highest potential.

Position Summary:

The Acute Care RN Case Manager is a non-clinical role that collaborates process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality cost-effective outcomes. The RN Case Manager works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge.

 

Job Responsibilities:

  • Utilization Review and Discharge planning monitoring patient's continuum of care.
  • Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.
  • Assesses and responds to patient/family needs by coordinating efforts of other team members.
  • Identifies and resolves barriers that hinder effective patient care.
  • Collaborates and consults with physicians on patient's progress and discharge planning needs.
  • Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.
  • Manages the process to review and, as appropriate, appeal denials received from payers.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.
  • Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.
  • Orients and mentors new staff members as needed.

 

Work Experience:

• At least 2 years Acute Care Case Management Experience, recent experience/knowledge of utilization review, discharge planning and/or case management tools preferred.

• Prior clinical nursing experience required.

 

Education:

• Associate of nursing degree required

• Four-year Bachelors of Nursing degree preferred

• Graduate or professional work or advanced degree preferred

 

Licenses & Certifications:

• Licensed RN required

• Case Management certifications preferred (ACM, CCM, etc.)

 

 

Benefits:

AMN Revenue Cycle Solutions offers opportunities for learning and career development; competitive pay; and a comprehensive benefits program. We promote a diverse and inclusive workplace.

 

Quick Apply

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    Please include non-medical questions and correspondence only.

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More Info

Contact

Divisional Headquarters
Two Harbour Place
302 Knights Run Avenue
Suite 1025
Tampa, FL 33602
Phone: 813.418.3800
Toll Free: 1.866.727.4461
Fax: 813.418.2256
people@medpartners.com