Case Manager
Location: Panama City Florida
Description: Gulf Coast Medical Center is employing Case Manager right now, this job will be placed in Florida. For detail informations about this job opportunity please read the description below. The RN Case Manager works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge. The tasks and responsibilities include:
Performs continuou! s assessments and evaluations to ensure patient is progressing towards desired outcomes.
Assesses and responds to patient/family needs by coordinating efforts of other team members.
Identifies and resolves barriers that hinder effective patient care.
Collaborates and consults with physicians on patient's progress and discharge planning needs.
Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity.
Manages the process to review and, as appropriate, appeal denials received from payors.
Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psycho social needs of the patient.
Maintains knowledge of resources and facilities available to patients and family members.
Collaborates with personnel at other facilities to coordinate smo! oth and effective patient transfers and transitions.
! Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.
Provides age and culturally appropriate care.
Orients and mentors new staff members.
Follows Standard Precautions using personal protective equipment as required.
Qualifications
Required Job Qualifications include:
Current licensure as an RN
Graduate of an accredited school of professional nursing. Bachelor's of Science in Nursing preferred.
CCM preferred
Minimum 5 years of clinical nursing experience.
Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred.
Customer service abilities including effective listening skills.
Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines.
Assertive and persuasive! communication skills, action oriented.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Gulf Coast Medical Center.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Fri, 26 Apr 2013 15:11:09 GMT