CASE MANAGER

Position Highlights:

• The Case manager coordinates the care and service of selected patient populations across the continuum of care; promote effective utilization and monitoring of health care resources; maintain accurate knowledge base of payer
  information for team collaboration; and assume a leadership role with the interdisciplinary team to achieve optimal clinical and resource outcomes.
• The case manager represents department in meetings with senior
  administration and provides enhanced expert services to all departments with the organization.

• The case manager demonstrates ongoing leadership within the hospital, community and professional organizations as required.

The Ideal Candidate

The ideal candidate will have the following qualifications:

• BSN
• Minimum 5 years related experience in health care
• Recent case manager experience
• Demonstrated experience in oncology nursing, utilization review, quality
  management, and/or case management. Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid regulations, third party reimbursement, medical record coding and pricing of services.

Responsibilities:

• Discharge planning for inpatients.
• Utilization Review for inpatients