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Case Manager

4 months ago


Gulfport, United States Memorial Hospital Full time

Qualifications

Job Summary:

Coordinates the efforts of patient, family and healthcare professionals to develop a plan of care across the continuum based on identified needs. Reviews and assesses the appropriateness of patient admissions and continued stays in accordance with established policies and procedures.

Required Qualifications:  

Education : Graduate of an accredited program in Nursing with a minimum of an Associate’s degree.

Licensure : Current MS RN licensure, compact license or temporary permit for same (valid for 90 days only).

Experience : Three (3) years of clinical experience as a registered nurse in an acute care facility.

Skills, Knowledge, Abilities: Expert clinical knowledge regarding disease management. Knowledge of performance improvement tools and techniques. Proficiency with computer applications including database management and statistical applications. Excellent customer service and communication skills; strong organizational and problem-solving skills.

Preferred Qualifications:

Education : Bachelor’s degree in Nursing.

Licensure : CCM, CPUR, CPUM or related certification.

Experience : Experience in advanced quality management, utilization management, case management and/or DRG documentation compliance principles.

Skills, Knowledge, Abilities:  Advanced proficiency in resource / quality management methods, DRG coding, and third party payer requirements. Advanced statistical and spreadsheet / database application skills.

(12/24/2017)