Utilization Management Case Manager

Location:Gulf Coast Medical Center

• 13681 Doctor's WayFort Myers FL 33912

Department: Utilization Management

• Corporate

Work Type: Full Time

Shift: Shift 2/8:00:00 AM to 8:00:00 PM

Minimum to Midpoint Pay Rate:$30.27 - $40.86 / hour

Summary

Performs utilization management functions that assure regulatory compliance, medical necessity and appropriate level of care. Facilitates concurrent documentation in the medical record to accurately reflect care, services and resources utilized in the delivery of patient care. Successfully meets requirements for productivity and accuracy related to all utilization management processes.

Requirements

Education: Graduate of an accredited school of professional nursing required. BSN or BS in a related healthcare field, or able to obtain within the first year of hire.

Experience: Minimum of 3 years acute care hospital clinical experience or equivalent utilization management experience within 2 years with a focus on acute care.

Certification: Case Management certification, ACM, CCM, CMCN or NACCM required after 3 yrs. employment (time exception provided for unsuccessful attempts).

License: Currently licensed as an RN in the State of Florida.

Other: Communication and interpersonal skills, basic computer, analytical, grammar and spelling skills. Ability to effectively multi-task responsibilities.

US:FL:Fort Myers