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Utilization Management Case Manager

2 months ago


Fort Myers, United States Lee Health Full time

Location:HealthPark Medical Center -9981 So HealthPark CircleFort Myers FL 33908

Department: Utilization Management - Corporate

Work Type: Full Time

Shift:2nd Shift /8:00:00 AM to 8:00:00 PM

Minimum to Midpoint Pay Rate:$30.27 - $40.86 / hour

SummaryLee Health is seeking a Case Manager for Utilzation Management in the Emergency Department.This is an onsite position at HealthPark Medical Center in Fort Myers FL and will require working every other weekend.

Lee Health is Southwest Floridas premier community-owned health system, serving Fort Myers, Cape Coral and surrounding communities. At Lee Health we value Education, Respect, Compassion, and Excellence. We treat all of our employees with dignity and respect, and reward them for a job well done. We empower them to explore career options that they are passionate about, expand their skill sets and do their very best. Patient care services are offered at six acute care hospitals, over 90 Lee Physician Group clinics, skilled nursing units, home health and more

Having a career with Lee Health offers:
  • Competitive Pay
  • Hiring Incentives (Sign on Bonus / Relocation Reimbursement)
  • Room for growth and development in your career
  • Supportive Leadership
  • Paid Time Off (Uncapped)
  • Top Tier Health Coverage with no cost services at Employee Health Clinics
  • Education Reimbursement after 90 days
  • Up to 5% retirement match
  • Supplemental benefits (Pet Insurance/Legal Insurance/Etc)


Job Duties

Performs utilization management functions that assure regulatory compliance, medical necessity and appropriate level of care. Facilitates concurrent documentation in the medical record to accurately reflect care, services and resources utilized in the delivery of patient care. Successfully meets requirements for productivity and accuracy related to all utilization management processes.

Requirements

Education: Graduate of an accredited school of professional nursing required. BSN or BS in a related healthcare field, or able to obtain within the first year of hire.

Experience: Minimum of 3 years acute care hospital clinical experience or equivalent utilization management experience within 2 years with a focus on acute care.

Certification: Case Management certification, ACM, CCM, CMCN or NACCM required after 3 yrs. employment (time exception provided for unsuccessful attempts).

License: Currently licensed as an RN in the State of Florida.

Other: Communication and interpersonal skills, basic computer, analytical, grammar and spelling skills. Ability to effectively multi-task responsibilities.

US:FL:Fort Myers