Arizona Specialty Hospital in Chandler Arizona is in need of a Full Time Case Management RN.
Benefit package including 401K and Great staff.
Job Summary:Assess, plan, implement, coordinate, monitor and evaluate options, services and alternative levels of care to meet a patient's needs. Promotes appropriate utilization, high quality of care and cost effective outcomes. Communicates with Physicians/Nurse Manager/co-workers, as appropriate. Acts as a consultant and educator on matters referring to alternative levels of care, managed care issues, and community resources.
Requires fundamental knowledge of the revenue cycle process, which includes such things as patient access, utilization review, charge capture, HIM and patient accounting.
Requires the advanced analytical and critical thinking skills necessary to audit patient care data, associated patient care documentation and identify variances in standards of care.
Requires knowledge of rules and regulations pertaining to hospital reimbursement.
Requires familiarity with managed care principles and an understanding of post-acute continuum of care.
Requires the interpersonal skills necessary to maintain effective working relationships and interact effectively with staff, physicians, review agencies, insurance companies, patients and patients'' families.
Requires the effective communication skills (both verbal and written) necessary to prepare documentation, write appeal letters and to provide education to staff and physicians regarding the revenue cycle process.
Demonstrates the ability to be self-motivated, detail oriented and make independent decisions. Also demonstrates the ability to respond quickly and appropriately to customer requests.
Demonstrates a working knowledge of the Hospital's computer systems and proficiency in basic computer skills (i.e., data entry, word processing, spreadsheets, utilizing the internet, etc.). A basic understanding of database applications is desired.
Demonstrates knowledge of and a commitment to the Hospital's mission and values and the organization's goal of providing world class service.
Requires the physical ability and stamina to perform the essential functions of the position.
Graduate of an accredited school of nursing.
Current Arizona State Registered Nurse Licensure.
Current BCLS and ACLS certification.
Able to communicate effectively in English, both verbally and in writing.
Additional languages preferred.
United Surgical Partners International