Utilization Management Case Manager
Found in: beBee jobs US - 2 weeks ago
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
SummaryPerforms 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/Preferredand/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/Preferredand/or3 YearsAcute CarePreferredAdditional Requirements
Or equivalent utilization management experience within 2 years with a focus on acute care preferred.
State of Florida Licensure RequirementsLicensesRequired/Preferredand/orRegistered Nurse LicenseRequiredCertifications/Registration RequirementsCertificates/RegistrationsRequired/
Preferredand/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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