We have other current jobs related to this field that you can find below
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Travel Nurse RN
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Farmington, United States UConn Health Full timeJob Detail Job Title: RN Clinical Case Manager- Gynecological and Genitourinary Oncology Department: 81018-Neag Cancer Center (JDH) Location: Farmington FTE%: 1 Shift 1 Search #: 2024-1366 Closing Date: 07/07/2024 Recruiter: McNamara, Elizabeth ...
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Travel Nurse RN
1 month ago
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Travel Nurse RN
1 month ago
Farmington, NM, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Farmington, New Mexico. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel We are seeking a Case Manager-Registered...
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RN Case Manager
2 weeks ago
Farmington, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Sign On Bonus up to $20,000Mileage AllowanceHealth & Wellness Benefits starting Your First...
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RN case manager
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Farmington, United States San Juan Regional Medical Center Full timeR locationsSan Juan Regional Medical Center time typeFull time posted onPosted 30+ Days Ago job requisition idR Love what you do; Love where you live The RN Case Manager is responsible for assessing, planning, facilitating, and advocating for options and services through a continuum of care from admission through discharge on assigned patients. The RN Case...
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RN case manager
2 weeks ago
Farmington, United States San Juan Regional Medical Center Full timeR locationsSan Juan Regional Medical Center time typeFull time posted onPosted 30+ Days Ago job requisition idR Love what you do; Love where you live The RN Case Manager is responsible for assessing, planning, facilitating, and advocating for options and services through a continuum of care from admission through discharge on assigned patients. The RN Case...
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RN Case Manager Onsite
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Adult Recovery Support Specialist/ Case Manager
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RN case manager
1 week ago
Farmington, NM, United States San Juan Regional Medical Center Full timeR locationsSan Juan Regional Medical Center time typeFull time posted onPosted 30+ Days Ago job requisition idR Love what you do; The RN Case Manager is responsible for assessing, planning, facilitating, and advocating for options and services through a continuum of care from admission through discharge on assigned patients. The RN Case Manager performs...
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RN case manager
1 week ago
Farmington, NM, United States San Juan Regional Medical Center Full timeR locationsSan Juan Regional Medical Center time typeFull time posted onPosted 30+ Days Ago job requisition idR Love what you do; Love where you live The RN Case Manager is responsible for assessing, planning, facilitating, and advocating for options and services through a continuum of care from admission through discharge on assigned patients. The RN Case...
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Practice Manager
1 month ago
Farmington, United States Allstarmedicalsupply Full timeAdditional Information About the Role Operational/Clinical Management Full-Time; benefits eligible! Monday - Friday; days position. No nights or weekends required! EPIC experience a plus! Overview BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are...
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Practice Manager
1 month ago
Farmington, United States BJC HealthCare Full timeOverview BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region. Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater...
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MDS Coordinator
7 hours ago
Farmington, New Mexico, United States Frontier Management (OR) Full timeJob Title: Registered Nurse - MDS CoordinatorCompany: Frontier Management (OR)Job Type: Full-TimeBenefits:401(k)Dental insuranceHealth insuranceLife insuranceVision insuranceKey ResponsibilitiesThe MDS Coordinator - Case Mix Specialist will play a crucial role in ensuring the accuracy and completeness of Minimum Data Set (MDS) assessments and care plans for...
Clinical Access Case Manager
2 months ago
The Clinical Access Case Manager will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor guidelines. Participate in denial / appeal process.
Required Behaviors:
•As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability, and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.
Required Qualifications:
- Current RN or LPN license in the state of New Mexico
- Minimum of three (3) years' experience in acute care required
- Assertive and diplomatic communication skills
- Self-motivated and accountable
- Team-Oriented
Preferred Qualifications:
•Bachelor's Degree (BSN)
•Case Management experience
•Accredited Case Manager Certification
Duties and Responsibilities:
•Management of ports of entry. Perform and document clinical reviews to determine medical necessity, using InterQual, and physician determination of length of stay (LOC).
•Receive and review physician orders on all patients coming into SJRMC and determines the accuracy of the patient status assigned, (i.e., inpatient, outpatient, or observation)
•Perform concurrent utilization review as assigned following contractual obligations
•Denial Management
•Observation Management
•Maintain current knowledge of and follow Medicare and Medicaid requirements
•Proactively identifying, documenting, and escalating problems with over/under utilization of hospital resources
•Collaborates effectively with departmental staff to achieve goals and objectives
•Utilizes internal or external Physician Advisor as needed to resolve level of care discrepancies
•Perform other duties as assigned
•Each employee is responsible for implementing SJRMC's Service Standards into their daily work:
Safety, Courtesy, Effectiveness, and Stewardship
Physical Demands and Environmental Work Conditions:
Physical:
•Minimum physical effort required
•Intermittent sitting with freedom of movement
•Frequent walking
•Minimal bending, lifting, pulling, and reaching
Mental:
•Frequent periods of concentration with attention to details
•Frequent opportunity for diversification of tasks
•Ability to shift tasks to adjust to patient needs in a timely manner
•Work performed in modern, well-equipped environment
•Interfaces with fellow employees, patients, and guests of hospital daily
•Able to use various office equipment, including expertise in computer programs in performance of routine duties
