Registered Nurse Case Manager

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. RN Case Manager | Full Time | Chatuge Regional Hospital Full Time Hiawassee, GA, US 8 days ago Requisition ID: 2534 Job Description: The primary purpose of this job is to do case management as well as social services activities - and utilization review duties. Duties & Responsibilities may include - but not limited to: 1 - Complete chart reviews to: * Assess medical necessity for the level of care and services provided using criteria as directed by the patient's payor sources * Document in the UR note and complete certifications or forward information to payor's as required by payor source. * Assist quality department in compliance with core measures. * Improve concurrent documentation to optimize quality of patient care and accurate reimbursement. * Participate in denial management and complete the appeals process. 2 - Assess discharge needs of patients, document in medical record, meet discharge needs, and participate in multidisciplinary team meetings. 3 - Utilize strategies to decrease re-admissions (complete risk assessments on inpatients, obtain referrals as needed, coordinate care with patient, family and doctor. Education & Licensure: Associates degree/Bachelor degree in Nursing - Licensed Registered Nurse (RN) - REQUIRED . ACLS and BLS certifications. Two years Case Management experience - preferred. Med/Surg background, Knowledge of Cerner and MCG (Indicia), and Case Management experience - preferred Powered by #J-18808-Ljbffr