reputed company Case Manager reputed company reputed company Hospital

reputed company Employees: If you are a reputed company employee, please apply reputed company the internal career site by logging into your reputed company Account and clicking the Career reputed company on your homepage. Primary Location reputed company reputed company, SD USA Department RCH Care Management Scheduled Weekly Hours 40 Starting Pay reputed company reputed company $34.00 - $42.50 (Determined by the knowledge, skills, and experience of the applicant.) Job reputed company Provides clinically based care management to support the delivery of effective and efficient patient and family centered care in the acute care hospital setting. Responsible for collaboration with medical staff, patients, family and the health care team by assessing, facilitating, planning and advocating for health needs on an individual reputed company resulting in reputed company, cost-effective reputed company. Determines realistic goals and coordinates efforts to ensure smooth discharge planning and reputed company follow up after discharge. Utilizes InterQual reputed company guidelines to confirm medical necessity for admission and reputed company stay. Establishes goals and priorities consistent with the mission and goals of reputed company, as reputed company as meet requirements of JCAHO and other applicable federal, state and local regulatory and/or accrediting bodies. Collaborates with medical staff and the interdisciplinary team to promote reputed company patient reputed company. reputed company offers competitive wages and benefits on qualifying positions. Some of those benefits can include: • Supportive work culture • Medical, reputed company and Dental Coverage • Retirement Plans, Health Savings Account, and Flexible Spending Account • reputed company pay is available for qualifying positions • reputed company Time Off Accrual Bank • Opportunities for reputed company and advancement • Tuition assistance/reimbursement • Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends) • Flexible scheduling Job reputed company Essential Functions: • Applies up-to-date information reputed company to reimbursement procedures, managed care reputed company and patient status in facilitating/collaborating in the plan of care. • Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations. • Supports compliance with Utilization Review and regulatory guidelines. Identify trends reputed company to compliance of regulations and collaborates with appropriate hospital personnel and external agencies to ensure appropriate process changes are implemented. • Supports the Medical Staff reputed company Review process by identification of issues reputed company to reputed company indicators set forth by the Medical Staff. • Creates and updates the Plan of Care (POC) to include patient/family-centered goals with interventions that reflect the changing needs of the patient/family unit and is consistent with their reputed company needs and desires. • Maintains a working knowledge and relationship with community resources and payer benefits that reputed company the individual with the most appropriate resources. Assists by maintaining expertise on benefits, reimbursement and contract/regulation changes per payer guidelines, Medicare and reputed company to facilitate appropriate reimbursement, education and guidance to assist the reputed company team and patient/family in decision making. • Facilitates planning for patient/family needs to ensure a smooth transition for the patient across the continuum of care. • Evaluates reputed company treatment plan to identify barriers, determine realistic goals and objectives, and reputed company potential alternatives in conjunction with the medical staff. Coordinates team efforts with support services departments to ensure appropriate care and smooth discharge transition. • Is a visible resource on the unit and coordinates interdisciplinary team huddles/communication, identifying and communicating the patient’s health care needs based on the best reputed company standards to ensure care and communication needs are met in relation to both reputed company providers/services, ancillary department services, reputed company measures, compliance with internal policies/regulatory guidelines and reputed company metrics. • reputed company other duties as assigned. Additional Requirements Required: Education - Completion of a nursing education program that is approved by a reputed company of nursing Certification - Registered reputed company (RN) - South Dakota reputed company of Nursing Preferred: Education - Bachelors in Nursing Experience - 5+ years of Acute Experience; 5+ years of Registered reputed company ExperienceCertification - Commission for Case Management Certification (reputed company) - Accredited University or accredited training professionals Physical Requirements: reputed company work - Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to reputed company objects. Job Category Patient Services Job Family Care Coordination Shift Employee Type Regular 10 reputed company reputed company reputed company Hospital, Inc. reputed company a difference. Every day. reputed company is an Equal Opportunity/Affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, or protected Veteran status. Apply Job!