Regional Case Manager

3 weeks ago


Bullhead City, United States Exceptional Health Care Full time

This position will perform the responsibilities listed below for all Arizona facilities Job OverviewHere at Exceptional Healthcare, we strive for excellence in the industry. We are a micro hospital with 3 Arizona facilities located in Bullhead City, Maricopa, and Yuma. We are looking for a unique Case Manager to ensure excellent care and the best patient outcomes. The ideal candidate is an exceptional Case Manager with an interest in developing skill in other areas of hospital management. Areas that either impact or are impacted by case management will be overseen by you to ensure enough work for a full-time role. These areas include Quality/Performance Improvement and Infection Control and Prevention. Exceptional Healthcare is a great place to growResponsibilities Coordinate and facilitate patient care through assessment, evaluation, planning, and implementationCommunicate patient needs to a variety of care team members and follow up accordinglyManage safe, effective discharge plans upon completion of treatmentWork collaboratively with patients, families, physicians, and nurses to ensure high quality careAct as the patient's advocate as it relates to insurance coverage and financial assistanceMaintain the patient's comprehensive clinical record through detailed documentationCoordinate with third party payors on a regular basisServes as a utilization manager to determine appropriateness of admission, level of care and continued stay.Maintains a working knowledge of Medicare and private insurance companies and ensures that quality of care is maintained or surpassedCoordinate insurance appeals as neededCollects quality indicators and variance data and aggregates, reporting data to Utilization Committee and/or appropriate department(s).Facilitates Quarterly Utilization Review CommitteePerforms other duties as assigned and accepts new tasks as opportunities for growth.Qualifications for Case ManagerRegistered Nurse in state of practiceCertified Case Manager, preferred3-5 years of clinical experience, preferably in case management, or related experienceAbility to walk and stand 50-80% of the timeProficient computer skills including experience with Microsoft ExcelStrong written and verbal communication skillsExcellent clinical assessment and analytical skillsSCHEDULE:8-hour shift Monday through Friday (9AM - 5PM), varies depending organizations needs Weekend availability if neededOccasionally travel between different Arizona facilities BENEFITS:Health insurance401(k)Dental insuranceVision insuranceLife insurancePTO


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