Access Case Manager

Profile

u003cpu003eThe Access Case Manager evaluates the medical necessityu0026nbsp; foru0026nbsp; admission,u0026nbsp; and appropriateness of patient care unit placement for all scheduled admissions, direct admits, transfers, and outpatient conversionsu0026nbsp; and provides consultation to physicians prior to patient placement.u0026nbsp; The Access Case Coordinator will coordinate any unexpected discharge planning needs for this patient population that are not transitioned to the inpatient case coordinator, so that a smooth transition from the acute outpatient care setting to the community setting is ensured and readmission is averted. Refers to Social Work those patients with complex psychosocial or discharge planning needs and follows-up to ensure appropriate intervention. u0026nbsp;Acts as a resource to ensure appropriate reimbursement for all scheduled procedures.u0026nbsp; Dialogues with the payers as necessary to guarantee appropriate reimbursement for outpatients and scheduled admissions.u0026nbsp; Communicates with physicians and other members of the interdisciplinary healthcare team to ensure implementation of clinical practice guidelines or standing orders to meet expected standards of care for patients.u0026nbsp;u0026nbsp; Provides support and information to patients/families with identified financial or psychosocial needs. Serves as the liaison for the other members of the interdisciplinary team to ensure appropriate and expedient referrals upon decision to admit to the acute care inpatient setting.u0026nbsp;u003c/pu003enu003cpu003eu003cspanu003eu003cstrongu003eu003cspanu003eu003cspanu003e5 years of clinical experience as a Registered Nurse, experience in Case Management preferredu003c/spanu003eu003c/spanu003eu003c/strongu003eu003c/spanu003eu003c/pu003enu003colu003enu003cli style=u0022color: #000000;u0022u003enu003cp style=u0022color: #000000;u0022u003eu003cspanu003eUtilization review of discharge planning experience preferred.u003c/spanu003eu003c/pu003enu003c/liu003enu003cli style=u0022color: #000000;u0022u003enu003cp style=u0022color: #000000;u0022u003eu003cspanu003eMed/Surgu0026nbsp;or ICU department experience preferred.u003c/spanu003eu003c/pu003enu003c/liu003enu003cli style=u0022color: #000000;u0022u003enu003cp style=u0022color: #000000;u0022u003eu003cspanu003eExcellent communications skills that include: Oral comprehension, oral expression, written comprehension, and written expression.u0026nbsp;u003cspanu003eu0026nbsp;u003c/spanu003eu003c/spanu003eu003c/pu003enu003c/liu003enu003c/olu003enu003colu003enu003cli style=u0022color: #000000;u0022u003enu003cp style=u0022color: #000000;u0022u003eu003cspanu003eCurrent California RN Licenseu003c/spanu003eu003c/pu003enu003c/liu003enu003cli style=u0022color: #000000;u0022u003enu003cp style=u0022color: #000000;u0022u003eu003cspanu003eCurrent AHA BLS required.u003c/spanu003eu003c/pu003enu003c/liu003enu003cli style=u0022color: #000000;u0022u003enu003cp style=u0022color: #000000;u0022u003eu003cspanu003eBacheloru0026rsquo;s or Masteru0026rsquo;s degree in Nursing preferred.u003c/spanu003eu003c/pu003enu003c/liu003enu003c/olu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003e,EqualOpportunityEmployerDescription:null,PayTransparencyPolicyStatement:null,MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:false,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[{BehaviorId:b10ce9d5-c55f-d793-34e3-870004c23c8e,BehaviorName:Enthusiastic,BehaviorDescription:Shows intense and eager enjoyment and interest,Required:true,IsArchived:false},{BehaviorId:c74c9743-8d62-f1e8-d77b-83b982874e49,BehaviorName:Thought Provoking,BehaviorDescription:Capable of making others think deeply on a subject,Required:true,IsArchived:false},{BehaviorId:cae19f95-5800-106c-f916-47291389e406,BehaviorName:Leader,BehaviorDescription:Inspires teammates to follow them,Required:true,IsArchived:false},{BehaviorId:a2c28672-a96e-ed4a-ceb6-99dce436dba9,BehaviorName:Team Player,BehaviorDescription:Works well as a member of a group,Required:true,IsArchived:false},{BehaviorId:1d54902d-a28b-3227-2b81-c23c2d7b724c,BehaviorName:Dedicated,BehaviorDescription:Devoted to a task or purpose with loyalty or integrity,Required:true,IsArchived:false},{BehaviorId:d2a7715d-a60a-d43c-7228-99ea12bdd32d,BehaviorName:Detail Oriented,BehaviorDescription:Capable of carrying out a given task with all details necessary to get the task done well,Required:true,IsArchived:false}],MotivationCriteria:[{MotivationId:63b5d6c5-95b2-2d3c-c931-0999255188df,MotivationName:Goal Completion,MotivationDescription:Inspired to perform well by the completion of tasks,Required:false,IsArchived:false},{MotivationId:65c79538-f5df-74b1-9a33-cdcc87969709,MotivationName:Flexibility,MotivationDescription:Inspired to perform well when granted the ability to set your own schedule and goals,Required:true,IsArchived:false},{MotivationId:7f6dc957-1135-eb8f-c559-7ae91b30cb62,MotivationName:Self-Starter,MotivationDescription:Inspired to perform without outside help,Required:true,IsArchived:false},{MotivationId:93d7a497-6fc6-eb3f-769c-a447f9bf9c80,MotivationName:Ability to Make an Impact,MotivationDescription:Inspired to perform well by the ability to contribute to the success of a project or the organization,Required:true,IsArchived:false}],EducationCriteria:[{Required:false,Related:false,DegreeId:200c5d47-e17e-45cb-8891-e696e5f863fd,DegreeName:Bachelors,MajorId:56338d14-3fc3-4f44-80e4-cb95cabdfb4f,MajorName:Nursing},{Required:true,Related:false,DegreeId:dd583229-b6b9-4907-b041-6312ac0acbfc,DegreeName:Associates,MajorId:56338d14-3fc3-4f44-80e4-cb95cabdfb4f,MajorName:Nursing}],LicenseAndCertificationCriteria:[{Required:true,LicenseAndCertificationId:a0eab3a9-d7ec-48ee-853b-a4e0d05f5591,LicenseAndCertificationName:BLS},{Required:false,LicenseAndCertificationId:dd055e81-252f-45fb-905a-1e4f4bba122c,LicenseAndCertificationName:Case Mngmt Cert}],SkillCriteria:[],WorkExperienceCriteria:[{Required:false,MinimumRequiredYears:2,MaximumRequiredYears:5,Description:Hospital Case Management experience preferred},{Required:true,MinimumRequiredYears:5,MaximumRequiredYears:null,Description:5 years of clinical experience as a registered nurse in med/surg, ICU.n}],JobBoardMemberships:[{JobBoardId:5d8c0a73-eb65-4146-840c-bac4d68b4f75,PublishedInternal:true,PublishedExternal:true,ExternalPostedDate:2022-01-27T18:11:24.684Z,InternalPostedDate:2022-01-27T18:11:24.684Z},{JobBoardId:b7003a94-5863-451c-b0dc-b00127a9c8eb,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2022-01-27T18:11:24.684Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null,CompensationAnnualMinimum:null,CompensationAnnualMaximum:null,CompensationHourlyMinimum:null,CompensationHourlyMaximum:null,CompensationCurrency:null});

Company info

Sign Up Now - MiamiCrossing.com