CASE MANAGER

US-MS-Southaven
5 months ago(7/19/2017 12:42 PM)
Position Code
23090011
Day Shift
Yes
Status
Regular Full-Time
Department
DC CASE MANAGEMENT-ADMIN

Overview and Responsibilities

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 documentation 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 Supervisor of Case Management/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
Reporting Relationships
Does this position formally supervise employees?No
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.   #cb

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