Community Health Systems Case Manager-PRN in Milton, Florida
Santa Rosa Medical Center is looking for energetic, motivated RN, Case Manager professional interested in being on the forefront of new opportunities.
Description of Duties:
Under the general direction of the Case Management Director, the Case Manager s primary description of duties include:
Outpatient surgical process of screening for pre-admission, initiate discharge planning and follow admission from outpatient to inpatient setting.
Inpatient process of obtaining insurance authorization, development of a plan of care, manage patient throughout the acute care stay and transition to alternate level of care based on identified post discharge needs.
Provide appropriate documentation in the patient medical record and to various insurance providers. Evaluate readmission and patients with longer LOS for possible process changes
Valid State of Florida Registered Nurse License
Minimum of 1-3 years acute hospital case management experience required
MUST have 3 - 5 yrs. Case/Resource Management experience
MUST have Utilization Review Experience with InterQual.
MUST know CMS standards
MUST HAVE current BLS/CPR certification from the American Heart Association
Job: Case Management / Utilization Review
Organization: Santa Rosa Medical Center
Requisition ID: 1807894