Case Manager 8020 (42065273)
Location: Vail, Colorado - United States
Posted: 6/23/2018

Case Manager 8020

PRN/Pool Position Days Provides Clinical Coordination, Discharge Planning and Utilization Review. Maximizes reimbursement for both patient and hospital through cooperation with third party payers and physicians. Follows up on denials based on resource utilization issues. Provides a smooth transition for the patient from hospital to home or alternative care setting through coordination of services to meet the post discharge needs identified while maintaining a balance among quality outcome, cost, and process. Identifies those patients with significant psychosocial needs and makes referrals to Social Services. Promotes continuous quality improvement by monitoring team processes as well as through communication with other teams impacted by or impacting the processes of this team. Requirements are 1 weekend per month. MINIMUM QUALIFICATIONS: Experience: Minimum of 3 years clinical experience, up to date clinical knowledge, astute critical thinking and assessment skills. Two years of experience in at least two functions of Case Management (Utilization Review, Care Coordination, Resource Management and Discharge Planning) preferred. License: Ability to obtain and maintain a State of Colorado Registered Nurse or Licensed Clinical Social Work license. Education: Associate Degree in Nursing with ongoing efforts to obtain Bachelor of Science in Nursing or other healthcare related degree. Must be able to pass annual inter-rater reliability competency exam (IRR) with a score of > 80%. Other: Must be able to work effectively within a team, multi-task responsibilities. Excellent verbal and written communication skills. Computer skills including but not limited to Cerner, Interqual, 3rd party systems, and basic proficiency with Microsoft Office (Word, Excel and Outlook).

Additional Requirments / Information

Job Capacity:Per Diem
Minimum Education Level:See Job Description
Visa Sponsorship: No
Related Industries:Nursing, Other
No Profile Available

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