Case Manager Full Time
1 day ago
Education
Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulationsLicenses/Certification
Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations. Certification in Case Management a plus.Experience
Two years of experience in a healthcare setting preferred.Prefer prior experience in case management, utilization review, or discharge planning.At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
Essential Functions
Care Coordination
Knowledge/Skills/Abilities/Expectations
Knowledge of government and non-government payor practices, regulations, standards and reimbursement.Knowledge of Medicare benefits and insurance processes and contracts.Knowledge of accreditation standards and compliance requirements.Ability to demonstrate critical thinking, appropriate prioritization and time management skills.Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customersDemonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.Approximate percent of time required to travel, 0%Must read, write and speak fluent English.Must have good and regular attendance.Performs other related duties as assigned.-
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