RN Care Manager Inpatient Full Time (10hrs)

RN Care Manager Inpatient Full Time (10hrs)

Base pay range

$50.00 / hr - $77.00 / hr

This range is provided by MLK Community Healthcare. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

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Position Summary

The purpose of the Case Manager I position supports the physician and interdisciplinary team in facilitating patient care, with the objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates the functions of utilization management, care progression and care transition.

The Case Manager I is accountable for a designated patient caseload and plans effectively to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include :

• Facilitation of precertification and payor authorization processes
• Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement
• Application of process improvement methodologies in evaluating outcomes of care
• Coordinating communication with physicians.

The role reflects knowledge of RN scope of practice, state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other regulatory requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum of hospitalization. Activities include admission, continued, extended and discharge reviews to determine medical necessity, assure high quality of care and efficient utilization of resources, facilities and services. This position supports the Mission of Martin Luther King, Jr. Community Hospital and demonstrates behavior consistent with Core Values. It supports the hospital's strategic plan and quality improvement processes.

Essential Duties And Responsibilities

Assessment

Planning

Implementation

Evaluation

Communication / Collaboration

Professionalism

Position Requirements

Seniority level

Employment type

Job function

Industries

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