Community Health Systems Case Manager RN - FT/Days in Birmingham, Alabama
Supports physician in provision of patient care with accountability for designated patient caseload. Facilitates pre-certification and payor authorization processes; facilitates collaborative management of patient care across continuum, intervening as necessary. Plans to meet patient needs to ensure high quality of patient care, reduced length of stay, efficient utilization of resources and appropriate reimbursement of care and services. Applies process improvement methodologies in evaluating outcomes of care. Supports Patient Health Information Improvement Project (PHIIP) by ensuring documentation accurately reflects acuity. Serves as clinical resource for medical records coders and coordinate communications with physicians.
This position requires Alabama Board of Nursing (ABN) licensure - evidence of the individual's ABN (State) license is acceptable to demonstrate their academic achievement. Bachelor's degree in nursing preferred.
Three to four years experience with one year recent clinical experience in specialized area required. At least one year clinical case management experience required.
Licensed by State of Alabama Board of Nursing and Basic Life Support (BLS) required.
Job: Case Management / Utilization Review
Organization: Grandview Medical Center
Requisition ID: 1751829