RESPONSIBILITIES:
- Coordinates and oversees each patient's care from admission through post-discharge follow up.
- Maintains communication between the interdisciplinary team, patient/family, and external case managers from payors and other facilities.
- Continuously monitors documentation to meet the guidelines of standards developed by the regulatory agencies.
- Serves as reimbursement specialist.
PREREQUISITES:
- Minimum of five (5) years health care experience, RN/LPN preferred with a specialty certification.
- Effective verbal and written communication skills.
- Previous Utilization Review and/or Case Management experience or training.
- Knowledge of managed care, Medicare, and federal, state, and local regulations.
- Knowledge of growth and development across the life span required
Job Type: Full-time
Pay: $36.00 - $50.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Experience:
- Nursing: 1 year (Preferred)
- Case management: 1 year (Preferred)
License/Certification:
Work Location: In person