- Entry level
- No Education
- Salary to negotiate
- Las Cruces
Job Description - Emergency Dept-Case Manager (7416-8348)
Emergency Dept-Case Manager-7416-8348Memorial Medical Center
The Case Manager is responsible forfacilitating appropriate health care services throughout the continuum ofcare. Uses collaborative and systematic processes to assess, plan andcoordinate the implementation of services that meet the individual's healthneeds. Collects and utilizes data to monitor and evaluate theappropriateness and effectiveness of those services in accordance with the organizationsPI model. Communicates with physician, payers and other health careproviders to ensure quality care and promote fiscal responsibility through theappropriate utilization of resources. In the absence of a dedicatedClinical Documentation Specialist the Case Manager utilizes advanced knowledgeand clinical expertise to direct the health care providers towards theimprovement of clinical documentation. Facilitates the overall quality,completeness and accuracy of the medical record. Through extensiveinteraction with physicians, nurses and other care givers, achieves appropriatedocumentation to support the medical necessity and level of services renderedto all patients. Assist with the ongoing development and delivery ofeducation on documentation guidelines, coding and reimbursement rules for allmembers of the patient care team. Provides services to patientsthroughout the lifespan including newborns, children, adolescents, adults andgeriatric age groups.
Minimum Education:Graduate ofa School of Nursing Program. Minimum Experience:At least 3years of Utilization and case management experience strongly preferred. Ability to prepare reports and formal presentations preferred.
Certification/Licensure:CurrentNew Mexico or compact RN licensure required. Certification by theNational Association of Healthcare Professionals or InterQual isdesirable. Certification as a CCM or ACM desired.
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