Role OverviewThe Care Manager works collaboratively with interdisciplinary and healthcare team members to facilitate patient care through effective utilization and monitoring of healthcare resources. They assume a leadership role to achieve safe discharge planning along with desired clinical and financial outcomes.
What You Will Do
Assessment, Utilization Management, Care Coordination, Collaboration, and Transition Planning. This includes completing face-to-face assessments, identifying high-risk patients, and coordinating care and services through the acute care episode and across the continuum.
Why It Might Be a Fit
The ideal candidate will have 2 years of experience as an RN, a BSN, and strong interpersonal, organizational, and communication skills. They will also have knowledge of managed care, governmental payers, and third-party reimbursement, as well as experience in utilization and/or case management.
Requirements
- RN with 2 years' experience
- BSN and/or related bachelor's degree in a healthcare field
- Current Alabama RN Licensure
- Knowledge of managed care, governmental payers, and third-party reimbursement
- Skill in using Microsoft office applications, and Information systems including but not limited to MIDAS
- Demonstrated critical thinking skills and ability to prioritize work load
- Ability to exercise clinical judgment and autonomous decision making
- Strong interpersonal skills relative to both professional and lay interactions
- Strong organizational skills
- Demonstrated working knowledge of performance improvement activities
- Demonstrated working knowledge of data management/reporting practices
- Strong communication skills
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