Case Manager

Case Management Utilization Review Social Services

Provides admission and continued stay reviews on all patients for the purpose of compliance and the proper utilization of resources. Provides social service resources to patient's and their families.

Coordinates, negotiates, procures, and manages the care of patients to facilitate achievement of quality, cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff internal and external to the organization to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.

Assesses, coordinates, and evaluates each patient's plan of care. Establishes, continuously evaluates, and documents an individualized discharge plan. Ensures clinical documentation and cost-effective use of hospital resources.

Education: Nursing Diploma/Associate's - Nursing

Experience: 2 years

Licenses & Certifications: RN

Preferred Requirements:

Education: Bachelor's Degree - Nursing

Experience: 2-5 years

BJC Total Rewards:

Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date. Disability insurance* paid for by BJC. Annual 4% BJC Automatic Retirement Contribution. 401(k) plan with BJC match. Tuition Assistance available on first day. BJC Institute for Learning and Development. Health Care and Dependent Care Flexible Spending Accounts. Paid Time Off benefit combines vacation, sick days, holidays, and personal time. Adoption assistance. To learn more go to our Benefits Summary. *Not all benefits apply to all jobs.