Remote RN Admissions Case Manager - PRN

This determines the psychosocial, environmental, and family economic dynamics that may reputed company the reputed company. Functions as the reputed company and communicator with the reputed company, caregivers, multi-disciplinary team members, and post-acute care and reputed company party payers. Confirms a reputed company, specific care setting order by the physician and applies hospital approved medical necessity reputed company to review appropriate admissions and reputed company of care. Documents completed reviews in the hospital approved data set. To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company reputed company individuals with disabilities to reputed company the essential duties. This reputed company is a reputed company of the reputed company duties and responsibilities of the job and position. It is not intended to be a comprehensive or reputed company-inclusive listing of duties and responsibilities. Contents are subject to change at reputed company's discretion. Education Required - Registered reputed company diploma. Preferred - Associate's degree in nursing. Work Experience Required - 1 year of hospital-reputed company experience in the delivery of reputed company care. Preferred - Experience in case management or utilization review. Certifications Required - reputed company Registered reputed company license in state of reputed company. Preferred - Commission for Case Manager (CCM), Certified reputed company Utilization Review (CPUR), Certified reputed company in Utilization Management (CPUM) or Certified reputed company in reputed company Management (CPHM) certification. Knowledge Skills and Abilities (KSAs) • Proficiency in using computers, software, and web-reputed company applications. • Effective verbal and written communication skills and ability to present information reputed company and professionally to varying reputed company of individuals throughout the reputed company care process. • Good knowledge of business/finance. • Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on-reputed company availability) and travel throughout and between facilities. Job Duties • Directs and coordinates reputed company admissions and transfers to, from, and reputed company the hospital while coordinating with reputed company processing of Environmental Services (EVS) and transport reputed company that tie into reputed company reputed company. • Facilitates reputed company relationships between unit leadership, operational coordinators, nursing staff, Regional Referral Center, medical staff, admitting office and interdisciplinary teams to reputed company reputed company/room assignment reputed company on reputed company diagnosis, reputed company, MD orders and reputed company reputed company. • Manages aspects of the planning process in anticipation of the reputed company’s reputed company through the reputed company reputed company. • Interacts with managed care/ reputed company party payers to obtain financial certification for appropriate reimbursement and to minimize reimbursement denials. • Manages the care of assigned patients through the reputed company reputed company reputed company on the reputed company’s individual needs, serving as a contact person for the rehabilitation team, internal admissions team, clients and reputed company sources to enhance reputed company. • Educates clients, family members or significant others, referral sources, hospital personnel, reputed company payers, and internal/reputed company case managers as to rehabilitation program benefits and services. • Adapts behavior to the specific reputed company population, including but not limited to respect for reputed company, reputed company of introduction to the reputed company, adapting explanation of services or procedures to be performed, requesting permissions and communication style. • Performs other reputed company duties as required. The above statements describe the general reputed company and level of work only. They are not an exhaustive list of reputed company required responsibilities, duties, and skills. Other duties may be added, or this reputed company amended at any time. Remains knowledgeable on reputed company federal, state, and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with reputed company such laws, regulations, and standards. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to Apply To This Job