CASE MANAGER

SummaryPosition Highlights:The Case manager coordinates the care and service of selected patient populations across the continuum of care; promote effective utilization and monitoring of health care resources; maintain accurate knowledge base of payer information for team collaboration; and assume a leadership role with the interdisciplinary team to achieve optimal clinical and resource outcomes. The case manager represents department in meetings with senior administration and provides enhanced expert services to all departments with the organization. The case manager demonstrates ongoing leadership within the hospital, community and professional organizations as required.The Ideal CandidateThe Ideal Candidate Will Have The Following QualificationsBSNMinimum 5 years related experience in health careRecent case manager experienceDemonstrated experience in oncology nursing, utilization review, quality management, and/or case management. Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid regulations, third party reimbursement, medical record coding and pricing of services.ResponsibilitiesDischarge planning for inpatients.Utilization Review for inpatients