Clinical Resource Management Specialist

3 weeks ago


Montgomery, Alabama, United States Jackson Hospital Full time

Job Summary: We are seeking a skilled Clinical Resource Management Specialist to join our team at Jackson Hospital. The ideal candidate will have a strong background in nursing and experience in utilization management, case coordination, and discharge planning.

Key Responsibilities:

  • Review severity of illness and intensity of service indicators to ensure appropriateness of care criteria is met.
  • Develop and implement discharge plans for assigned patients.
  • Collaborate with the healthcare team to ensure timely and effective care.
  • Document reviews and discharge planning in the medical record and/or computer system.
  • Collect and maintain data for tracking and reporting for outcome studies and performance improvement.

Requirements:

  • Minimum Bachelor's degree in Nursing.
  • Experience in working with mental health patients required.
  • Knowledge of local and State agencies required.
  • Knowledge of CMS and JCAHO Standards required.
  • Case management experience required.
  • Licensed in the State of Alabama as a registered nurse.

Preferred Qualifications:

  • ICD-9 code book, DSM, computer, and software (including Affinity, Microsoft Word, Excel, and GroupWise), fax, copier and other Office equipment.
  • Computer skills, effective communication skills (verbal and written), time management and critical thinking skills.
  • Working knowledge of healthcare reimbursement, counseling, community resources, continuum of care and team building.

Work Environment:

Works predominantly indoors with moderate amount of daily walking, standing and under high levels of stress. May be exposed to the risk of communicable diseases, radiation, chemicals and injury related to movement of patients and/or equipment involving a minimum of 50 pounds, or injury from irrational patients or persons.



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