• Case Manager

    Location US-MS-SOUTHAVEN
    Posted Date 2 weeks ago(12/3/2018 3:48 PM)
    Position Code
    3284
    Day Shift
    Yes
    Night Shift
    No
    Rotating Shift
    No
    Evenings
    No
    Status
    Regular Full-Time
    Department
    DC Case Management A
  • 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.

    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

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