Nurse Case Manager
3 weeks ago
At St. Mary's General Hospital, we are seeking a skilled Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for the quality and resource management of all patients admitted to our facility. Your expertise will promote cost containment and demonstrate leadership in integrating healthcare providers to achieve seamless delivery of care.
Responsibilities:
- Conduct comprehensive admission and concurrent review of medical records for medical necessity, intensity of service, and severity of illness.
- Develop and implement effective case management plans to achieve quality, clinical, and cost-effective outcomes.
- Collaborate with healthcare providers to ensure seamless delivery of care and promote cost containment.
Qualifications:
- Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- Basic to intermediate computer skills required.
St. Mary's General Hospital is a community-based tertiary medical center focused on providing quality, compassionate care. We are committed to providing respectful, personalized, high-quality care to our patients and their families. If you are a motivated and compassionate healthcare professional, we encourage you to apply for this exciting opportunity.
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