CASE MANAGER

US-TN-MEMPHIS
9 months ago
Position Code
20020038
Day Shift
Yes
Night Shift
No
Rotating Shift
No
Evenings
No
Status
Weekends
Department
ME CASE MANAGEMENT-ADMIN

Overview and Responsibilities

 

                                                                     Weekend Case Manager

 

 

Promotes patient-centered care among the healthcare team by providing coordination, collaboration and clinical expertise to meet patient needs and achieve optimal outcomes. Promotes prudent utilization of all resources. Serves as the patient's advocate by coordinating resources and services necessary to meet the patient's continuing care needs. Reviews and evaluates medical docmentation with physicians and other healthcare members to support compliance and external regulatory requirements and to improve outcomes of care. Assists in Performance Improvement activities by identifying, monitoring and reporting quality measures, and participating in quality improvement teams. Communicates and utilizes policies that support patient's fundamental right to considerate care, protects their personal dignity and respects their cultural, psychosocial and spiritual values in an effort to meet patient care needs and preferences. Reports to the Director of Quality/Case Management. Performs other duties as assigned.

Qualifications

.

DescriptionMinimum RequiredPreferred / Desired
Experience  
 RN 
Education  
 Diploma or Associate Degree in NursingBachelor's in Nursing
Training  
 2 years of clinical experience3 years of clinical experience with Case Management experience in a hospital or payer setting
Special Skills  
.Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.
Licensure  
RNRNACM , CCM , RN

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