Utilization Management Case Manager

Found in: beBee jobs US - 2 weeks ago


Cape Coral, Florida, United States Lee Health Full time

Location:Cape Coral Hospital -636 Del Prado BlvdCape Coral FL 33990

Department: Utilization Management - Corporate

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to 8:00:00 PM

Minimum to Midpoint Pay Rate:$ $40.86 / hour

This ED role is a 12hr onsite role at Cape Coral Hospital with a weekend day rotation.

Every Thursday, Friday & Saturday

Every other Wednesday

On a week where you are working W, TH, F & of those days is 8hrs, the other 3 days are 12hrs

Summary

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.

RequirementsEducational RequirementsDegree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/orBachelor'sNursingPreferredorBachelor'sSciencePreferredAdditional Requirements

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

Experience RequirementsMinimum Years RequiredArea of ExperienceRequired/
Preferred
and/or3 YearsAcute CarePreferredAdditional Requirements

Or equivalent utilization management experience within 2 years with a focus on acute care preferred.

State of Florida Licensure RequirementsLicensesRequired/
Preferred
and/orRegistered Nurse LicenseRequiredCertifications/Registration RequirementsCertificates/RegistrationsRequired/
Preferred
and/orACM (Accredited Case Manager)RequiredorCCM (Certified Case Manager)RequiredorNACCM (National Academy of Certified Care Managers)RequiredAdditional Requirements

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

US:FL:Cape Coral


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