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Registered Nurse (Rn) Case Management

Job ID: 254304Registered Nurse (RN) Case ManagementBirmingham, AlabamaRegular / Day Apply Now Additional Job Information Title: RN-Case Mgmt City, State: Birmingham,AL ...

Posted 2 days ago

Job ID: 254304Registered Nurse (RN) Case ManagementBirmingham, AlabamaRegular / Day Apply Now Additional Job Information Title: RN-Case Mgmt City, State: Birmingham,AL Location: St Vincent's East Department: Case Management 001 Additional Job Details: PRN,Day, 0 hours,Weekly About Us St. Vincent's Health System, part of Ascension, is made up of St. Vincent's Birmingham, St. Vincent's Blount, St. Vincent's East, St. Vincent's St. Clair, St. Vincent's One Nineteen Health and Wellness, and the St. Vincent's Ambulatory Healthcare Network, which includes a wide range of services, from family care to home health. Together, we provide a special brand of personalized, compassionate care that balances high touch with high tech, meeting the needs of people in more than 40 communities. Job Description Job Summary: The RN-Case Management coordinates the overall interdisciplinary plan of care for patient, from admission to discharge. Responsibilities: * Creates plan for care across the continuum, integrating patient/family preferences and values. * Monitors patient care through assessments, evaluations and/or patient records. * Advocates for resources and removal of barriers. * Maintains ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan. * Acts as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and treatment options for post-discharge care. Qualifications Licenses/Certifications/Registration: * Required Credential(s): * BLS Provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) obtained within 1 Month (30 days) of hire date or job transfer date. * Licensed Associate Professional Registered Nurse credentialed from the Alabama Board of Nursing obtained prior to hire date or job transfer date. Education: * Diploma * Graduate of an accredited school of professional nursing required. Work Experience: * One year experience required How To Apply Applicants may proceed by clicking on the "Apply Now". To apply later, return to the Career page at www.stvhs.com In addition, you may apply via one of our Employment computers in the following locations: Human Resources located at St. Vincent's Birmingham, 806 St. Vincent's Drive, Birmingham, AL 35205 (4thfloor in Building 1) 8:00am – 2:00pm Human Resources located at St. Vincent's East, 50 Medical Park East Drive, Suite 259, Birmingham, AL 35235 (2ndfloor) 8:00am – 2:00pm Administration office at St. Vincent's Blount, 150 Gilbreath Drive, Oneonta, AL 35121 9:00am-3:00pm Equal Employment Opportunity As an equal opportunity employer, St. Vincent's and all its ministries comply with all applicable employment laws and regulations. In order to provide equal employment opportunities to all individuals, employment decisions at St. Vincent's and all its ministries based on merit, qualifications and abilities. Employment decisions are made without regard to race, color, disability, protected veteran status, sexual orientation, national origin, age or any other characteristic protected by law. Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. E-Verify Statement St. Vincent's participates in the Electronic Employment Verification Program. Please click the E-verify link below for more information. E-Verify (link to E-verify site)

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Registered Nurse Case Mgmt - Evhealth

Envision Healthcare Birmingham AL, 35202

Overview St. Vincent's Hospice has a Registered Nurse Case Manager opportunity in Birmingham! We're Proud to Offer: * Outstanding Pay * * Health Benefits Including Medical, ...

Posted 2 days ago

Overview St. Vincent's Hospice has a Registered Nurse Case Manager opportunity in Birmingham! We're Proud to Offer: * Outstanding Pay * * Health Benefits Including Medical, Dental, Vision * * Life Insurance * * ST/LT Disability Coverage * * Tuition Reimbursement * * 401K Match * * Generous PTO Accrual * * Room for Professional Growth * * Mileage Reimbursement * * Extensive Training Program * * Company-Paid Tablet & Cell Phone * * Positive Work/Life Balance * * Exceptionally Supportive Leadership * If you're seeking a fulfilling career in a caring environment, we would love to hear from you! Responsibilities This position is responsible for evaluation, referrals and coordinating patient/family needs. Under physician orders, the Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventative and supportive care to the terminally ill patient/family unit. The RN utilizes assessment, intervention and teaching skills for caring for the patient/family unit, in collaboration with the hospice team members. Provides direct care as indicated and reports to appropriate hospice team members. Essential Duties and Responsibilities: * Actively engage in QAPI initiatives and compliance activities. * Take part in professional development to maintain qualifications for role; completes CBTs in a timely manner. * Document clinical findings clearly and in a concise manner while maintaining the patient clinical record according to practice standards. * Evaluates services provide by the Hospice Aide every two weeks. * Maintain productivity standards. * Promote efficiency in use of supplies and visit utilization including mileage. Perform comprehensive initial and ongoing assessment of patients and families, and develop initial treatment plan, modifying as appropriate with interdisciplinary team focus. Educate the patient and family regarding terminal care Knowledge and Skills: * Able to fulfill shared on-call responsibilities when assigned. Qualifications Minimum Qualifications: * Education/Licensing/Certification: * Graduate of accredited school of nursing. * BSN preferred. * Current State Nursing License (RN). * Possess valid driver's license, proof of insurance and access to automobile. Experience: * Two (2) years recent clinical experience with preferred experience in the care of terminally ill patients and their families.

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RN - Field Based Case Manager - Per Diem - Birmingham, AL

Unitedhealth Group Inc. Birmingham AL, 35202

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Jo...

Posted 2 days ago

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The Nurse Case Manager position is in an area where proprietary staff is not available due to geography or availability due to case load. The Per Diem, field - based Nurse Case Manager will handle catastrophic and non - catastrophic assignments for industrially injured employees. The responsibilities include meeting with the injured workers, physicians and facilities and to effectively follow up and communicate with our customers. The Nurse Case Manager will work from home and also travel in a designated area up to 75% of the time. The customer base includes all customers currently contracted for field case management services. The position is critical for the customers we service who rely on our expertise to assist their injured employees with treatment and cost saving measurements. Required Qualifications: * Registered Nurse - Active and unrestricted license in the state of practice * High School Diploma or equivalent * Case Management experience * Workers Compensation experience * Proficiency with Microsoft Word and Microsoft Excel * Ability to work independently in home and alternate site settings * Access to reliable transportation that will enable you to travel to customer and patient sites within a designated area Preferred Qualifications: * CCM * Undergraduate Degree - Bachelors or Associates Degree Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: RN, Case Manager, Case Management, Workers Compensation, Birmingham, Alabama, AL

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Onsite Workers' Compensation Case Manager (RN Or Vocational)

Genex Services Birmingham AL, 35202

Overview We are currently seeking an Onsite Case Manager for our customer. Qualified candidate must be either a Registered Nurse or Vocational counselor. The customer has num...

Posted 2 days ago

Overview We are currently seeking an Onsite Case Manager for our customer. Qualified candidate must be either a Registered Nurse or Vocational counselor. The customer has numerous locations and the qualified candidate will work onsite at the location closest to them in either TN, AL or GA. This position does require 15-20% of travel. Individual is responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an intermediary between carriers, attorneys, medical care providers, employers and employees to ensure appropriate and cost-effective healthcare services and a medically rehabilitated individual who is ready to return to an optimal level of work and functioning. The onsite case manager will have individual job responsibilities per client needs which will include, however , will not be limited to working collaboratively with the internal stakeholders (Safety, HR and Management) to address return to work concerns and consult on preventative measures. The ideal candidate will be an RN, Masters prepared Rehabilitation Counselor with experience in Workers' Compensation, Ergonomics and or Occupational Health. Skills required: Excellent planning and Organization and Time Management; Professionally Assertive and Proficient with Microsoft Office. Responsibilities Main responsibilities include but are not limited to: * Follows the Specific Client Process for Case Management. Uses clinical/nursing skills to help coordinate the individual's treatment program while ensuring quality and cost-effectiveness of care. * Initial review and assessment of case information and referral objectives. * Verify employee's job Title/Description. Do we have job analysis? If not, is it available? * Perform three-point contact to include the following: * Contact Employee: * Contact Provider: * Contact Employer/Adjuster/Insurer: * Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives. * Maintain daily records of all contacts. * Generate and fax, if requested, Initial or 72-hour report, including appropriateness of treatment plan and Case Management recommendations. * Serves as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan established by the case manager, physicians, and therapists. Explains physician's and therapists' instructions, and answers any other questions the claimant may have in an effort to facilitate his/her return to work. * Works with the physicians and therapists to set up medical assessments to develop an overall treatment plan that ensures quality and cost-effectiveness of care while meeting state and other regulator's guidelines. * Researches alternative treatment programs such as pain clinics, home health care, and work hardening. Coordinates all aspects of the individual's enrollment into the programs, and then monitors his/her progress, to ensure quality and cost-effectiveness of care and minimize time away from work. * Works with employers on modifications to job duties based on medical limitations and the employee's functional assessment. Helps employer rewrite a job description, when necessary and possible, to return the client to the workplace. * Monitors/evaluates the employee's progress. * Supply employer/adjuster/insurer with periodic reports agreed to in original contract, but not less than biweekly. * Provides input on the performance of support staff to their supervisor. * Track client updates by use of daily open listing. * Attend scheduled staff meetings and in-service programs. * Maintaining the necessary credentials and demonstrating a level of professionalism within the work place and in dealing with injured workers reflects positively on the company. * May assist in training/orientation of new staff as requested. Clients will provide their individual training for their specific program. * Monitors functions assigned to non-case managers and provides input on the performance of support staff to their supervisor. * Other duties may be assigned. Qualifications * EDUCATION: Diploma, Associates Degree or Bachelor's Degree in Nursing required. Advanced Degree preferred. * EXPERIENCE: Minimum of two (2) years full time equivalent of direct clinical care to consumers/ clinical practice. Workers' compensation-related experience preferred. * MINIMUM QUALIFICATIONS: * A current, unrestricted license or certification to practice a health or human services discipline in a state or territory of the United States that allows the health professional to independently conduct an assessment as permitted within the scope of practice of the discipline; or * In the case of an individual in a state that does not require licensure or certification, the individual must have a baccalaureate or graduate degree in social work, or another health or human services field that promotes the physical, psychosocial, and/or vocational well-being of the persons being served, that requires: * A degree from an institution that is fully accredited by a nationally recognized educational accreditation organization; * The individual must have completed a supervised field experience, in case management, health, or behavioral health as part of the degree requirements; and * URAC-recognized certification in case management within four (4) years of hire as a case manager * CERTIFICATES, LICENSES, REGISTRATIONS: See minimum Qualifications above. Pursue URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN) upon eligibility. Other state licenses/certifications as required by law. * OTHER QUALIFICATIONS: Prior Case Management experience preferred. Excellent interpersonal skills and phone manners. Excellent organizational skills. Ability to set priorities. Ability to work independently and as part of a team. Computer literacy required.

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Medical Case Manager

Fcci Insurance Group Birmingham AL, 35202

Begin a rewarding career with FCCI Insurance Group, one of the leading commercial property and casualty insurance companies. FCCI has an A (Excellent) AM Best rating due in part to...

Posted 2 days ago

Begin a rewarding career with FCCI Insurance Group, one of the leading commercial property and casualty insurance companies. FCCI has an A (Excellent) AM Best rating due in part to our continued financial stability, our ongoing commitment to providing superior insurance products and customer service! If you are seeking a balance between work and life, and are committed to helping others, we invite you to consider a career with us. Seeking a licensed Registered Nurse to provide telephonic case management on assigned workers' compensation claims. Provide coordination and evaluation of medical care to assigned caseload for the purpose of expediting claims handling. Assist with oversight of necessary cost effective quality medical treatment and work collaboratively with the adjuster for resolution of injury and/or return to work. Develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to determine appropriate medical treatment, evaluate medical necessity in conjunction with the adjuster, and monitor progress/response to treatment. Utilize your medical expertise and critical thinking skills to make recommendations on alternative care pursuant to review and research conducted utilizing nationally accepted practice parameters. Position located within our Gulf Coast Regional office (Ridgeland, MS) or in a remote, work from home setting within any of the following states: MS, AL, TN, AR, LA. Education and Qualifications * Associate's Degree (Bachelor's Degree Preferred); * Two years of relevant experience such as Utilization Review, Case Management, Physical Rehabilitation, Home Health, Orthopedics, or Occupational Health; * Current RN license in the state hired; Multistate licensure' preferred * Worker's Compensation insurance experience * Professional certification in either Case Management (CCM) or Rehabilitation (CRRN) and/or eligible to sit for the certification exam. * Proficient with desktop technology In exchange for your talents, FCCI offers competitive pay and an excellent benefits package including: - Opportunities for bonus - Wonderful work environment - Flexible and generous paid time off program - 401(k) program with employer match and profit sharing. E/O/E Drug Free Workplace.

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Case Manager RN - Ft/Days

Community Health System Birmingham AL, 35202

Supports physician in provision of patient care with accountability for designated patient caseload. Facilitates pre-certification and payor authorization processes; facilitates co...

Posted 3 days ago

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Case Manager

Safy Birmingham AL, 35202

This Full-Time Case Manager position is responsible for the case management functions for our Therapeutic Foster Care program in our Birmingham, AL division! Essential Responsib...

Posted 2 days ago

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LPN Case Coordinator - Birmingham

Cigna Birmingham AL, 35202

Position Summary: Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of resources. Assesses the medical...

Posted Yesterday

Position Summary: Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of resources. Assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services. May also manage appeals for services denied. May conduct pre-certification, concurrent and retrospective reviews to ensure compliance with medical policy, member eligibility, benefits, and contracts. May be responsible for day-to-day operations of a single or multiple IPA/IPOD and staff, and may serve as liaison with the local health plan to ensure continuity for IPA/IPOD members. Essential Duties and Responsibilities: * Responsible for the effective and sufficient support of all Utilization Management activities to include prospective/pre-certification review of inpatient and outpatient medical services for medical necessity and appropriateness of setting according to established policies. * Uses an established set of criteria, evaluates and authorizes the medical necessity of some inpatient and outpatient services. * Notifies provider of recommended changes in level of care. * Evaluates cases for quality of care and documents quality issues. * Issues letter to provider and member if the service meets certification criteria, and escalates to manager or Medical Director for review if the service does not meet certification criteria, and may issue denial letters. * May participate or assist in the planning of team, UM/QM, PCP, IPA and or Health Plan meetings. * Works with management team to achieve financial goals and operational objectives. Qualifications: * Current licensure as a Licensed Practical Nurse LPN or Licensed Vocational Nurse LVN. At least one year clinical experience. * Excellent communication and interpersonal skills. * Excellent time management skills. * Working knowledge of the insurance industry and the overall claims process a plus. * Knowledge of UM and CM products. * Proficient in basic computer skills Knowledge, Skills, Abilities Required: * Excellent interpersonal and communications skills with clinical staff, management, and all departments involved in the care of our customers. * Ability to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environments * Ability to make decisions on what needs to be done based on clearly established guidelines * Able to work in a dynamic, fast-paced team environment and to promote team concepts Computer Skills: Substantial knowledge of Microsoft Office including SharePoint, Outlook, PowerPoint, Excel and Word.

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Full Time Home Health RN Case Manager-Sign On Bonus Available (49950)

Gentiva Health Services, Inc. Birmingham AL, 35202

I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that's what our patients have come to expect from our clinicians....

Posted 2 days ago

I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that's what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation's leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families. I believe in working for a company that cares as much as I do. We offer a unique employment package that includes: * Unprecedented opportunities for career growth. * Clinical ladder for professional credentialing and advancement. * Innovative specialties with cutting-edge training and development. * Flexible full-time, part-time and PRN positions. I believe my work is my calling. As a Home Health RN Case Manager, you will: * Provide admission, case management, and follow-up skilled nursing visits for home health patients. * Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. * Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. * Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers). * Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. * Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. * Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility. * Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation. * Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care. Required Skills Qualifications * Diploma, Associate or Bachelor Degree in Nursing * Minimum of one year nursing experience preferred * Strong med surg, ICU, ER, acute experience * Home Health experience a plus * Current and unrestricted Registered Nurse licensure * Current CPR certification * Strong organizational and communication skills Required Experience Keywords: ACLS, ANA, Acute care, Admissions Nurse, Admission Nurse, BLS, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management, case manager, critical care, ER, Emergency Room, Healthcare, health care, Homecare, home care, home health, homehealth, hospital, ICU, intensive care unit, MSN, medical, medical care, med surg, med-surg, medicare, Nurse, Nurse Care Manager, Nurse Job, Nurse Jobs, oncology RN, oncology nurse, oncology registered nurse, palliative care nurse, ortho nurse, ortho RN, ortho registered nurse, palliative care RN, palliative care registered nurse, registered nurse, RN Job, RN Jobs, Registered Nurse Job, Registered Nurse Jobs, Nursing, Oasis, PRN, PDM, progressive care nurse, rehab RN, rehab registered nurse, rehab nurse, Registered Nurse, Registered Nurse Case Manager, RN, R.N., RN Case Manager, skilled visit, staff RN, staff nurse, staff registered nurse, step down unit, step-down unit, step down unit RN, tele, telemetry, telemetry nurse, telemetry RN, travel nurse, travel RN, travel registered nurse, visit nurse ~MON~ All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin. To learn more, please contact your local recruiter at (toll free) 855-KND-AT-HOME

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Director Case Management - Birmingham, AL

Encompass Health Birmingham AL, 35202

HealthSouth Lakeshore Rehabilitation Hospital is currently looking for a Director Case Management to join our hospital leadership team. As a member of Senior Leadership, the Dir...

Posted 2 days ago

HealthSouth Lakeshore Rehabilitation Hospital is currently looking for a Director Case Management to join our hospital leadership team. As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the day to day operations and human resource management of the department of Case Management. With a central focus on census management, patient care outcomes and key care indicators the DCM oversees the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services. The DCM is a patient and family advocate to ensure that services are delivered to meet the needs of patients and families and that the utilization of resources is appropriate. The Director of Case Management assumes responsibility for providing appropriate training, education and management of the department of Case Management. The DCM serves as a Senior Leader who coordinates and communicates effectively with other members of administration, medical staff and the interdisciplinary patient care team regarding service delivery, financial management, and discharge planning processes. The Director of Case Management provides training and direction to support Case Manager's effectively completing assigned responsibilities; managing caseloads, interpreting regulations, policies, operational procedures, and objectives; reviewing operations in assigned area to ensure a high level of quality that is consistent with organizational standards. Additionally the DCM participates in utilization review activities; performs case management analysis; and oversees concurrent review functions with appropriate follow-up action plan and intervention. To attract and retain the best professionals, we offer a comprehensive and competitive Benefits package that includes medical, dental, vision, 401(k), college savings plan, employee assistance program, pre-paid legal plan and much more. Helping you become a better case manager is critical to our success. You will be paired with a preceptor; attend in-house as well as external educational programs. We also have a Case Management Professional Development Program. The intent of the program is to provide a framework that promotes Directors of Case Management to advance in their professional growth. As a Director of Case Management, you will be eligible for a bonus upon attaining advancement levels in the professional development program. If you do not currently have your ACM or CCM certification, we will support you in achieving this goal by providing a certification prep course and reimbursement for the exam fee. As a leading provider of high-quality rehabilitation services for almost 40 years, HealthSouth Lakeshore is a 100-bed inpatient rehabilitation hospital that offers comprehensive inpatient as well as outpatient rehabilitation services designed to return patients to leading active and independent lives. Our hospital provides a wide range of physical rehabilitation services, a network of highly skilled, independent private practice physicians and HealthSouth therapists and nurses, and the most innovative equipment and rehabilitation technology, ensuring that all patients have access to the highest quality care. Hospital Location: 3800 Ridgeway Drive Birmingham, AL 35209 Click here to take a virtual tour of the hospital License and Certification: * Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for his/her discipline within his/her state, individual must hold an active license. * Current CCM® or ACM ™ certification is required or must be obtained within one year of being placed in the position. If you do not currently have your ACM or CCM certification, we will support you in achieving this goal by providing a certification prep course and reimbursement for the exam fee. Education, Training and Years of Experience: * For Nursing, must possess baccalaureate degree in Nursing (BSN) with RN licensure. * For other eligible health care professionals, must possess a minimum of a baccalaureate degree and graduate degree is preferred. * 3 years of hospital based Case Management experience including Utilization Review and Discharge Planning experience. Essential Job Functions: * Performs all duties and responsibilities as described in Case Manager job description when providing case management services. * Manages caseload assignment of patients to case managers. * Oversees team conference process and educates staff in facilitation and reporting. * Leads daily case management operations meetings, represents department in hospital operations. * Analyzes reports from PATCOM, UDS, and Press Ganey. * Implements and educates case managers on effective utilization of the continuum of care and community resources. * Completes special projects and other duties as requested to support needs of organization. * Coordinates and supports hospital utilization review process. * Ensures compliance with CMS regulations and Conditions of Participations for discharge planning. * Assigns patient caseload to dept members and self for optimal service delivery. * Manages core staffing plan and employs flexible staffing plan as necessary. * Acts as a resource for case managers and other team members. * Coordinates with other department managers to direct quality of care delivery. * Participates in administrative on-call schedule and coordinates case management on-call schedule. * Reports questionable situations, concerns, complaints or harassment immediately. * Completes mandatory training and courses required by completion date . Address: 3800 Ridgeway Drive, Birmingham 35209 Job ID: 1815833

Registered Nurse (Rn) Case Management

Registered Nurse Case Mgmt - Evhealth

RN - Field Based Case Manager - Per Diem - Birmingham, AL

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Onsite Workers' Compensation Case Manager (RN Or Vocational)

Medical Case Manager

Case Manager RN - Ft/Days

Case Manager

LPN Case Coordinator - Birmingham

Full Time Home Health RN Case Manager-Sign On Bonus Available (49950)

Director Case Management - Birmingham, AL

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Registered Nurse (Rn) Case Management

Registered Nurse Case Mgmt - Evhealth

RN - Field Based Case Manager - Per Diem - Birmingham, AL

Boost your job search productivity with our free Chrome Extension!

Onsite Workers' Compensation Case Manager (RN Or Vocational)

Medical Case Manager

Case Manager RN - Ft/Days

Case Manager

LPN Case Coordinator - Birmingham

Full Time Home Health RN Case Manager-Sign On Bonus Available (49950)

Director Case Management - Birmingham, AL

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