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Case Manager Job Summary
Provides case management services aimed at enhancing client-centered care and maximizing outcomes. Case management services include:
Qualifications
This position requires a degree in Nursing or equivalency; current RN licensure in the state of practice; LVN licensure; Social Work experience; or equivalent as deemed accteptable. Licensure and certification confirmed with the issuing body prior to beginning employment and annually thereafter, by the assigned supervisor.
A Certified Case Management designation is preferred. Previous experience in resource management activities, worker’s compensation, geriatric care, disease management and third party payer interactions is preferred.
Care is appropriate to the population served.
Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.
Disclaimer
This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.
Essential Functions
*Annual Evaluations by the supervisor and/or clinical manager will be completed to assess the case manager’s ability to provide essential functions of the job.
Problem Solving
The Case Manager has the authority to negotiate with third-party payers on benefit levels, eligibility, utilization review, and reimbursement, and must do so in accordance with guidelines from third party payers and other funding sources. Responsibilities must be carried out in accordance with the case manager's professional code of ethics, and, state and federal regulations. The Case Manager must use independent judgment to assess and meet client needs. A major challenge is interaction with clients, families, various patient care disciplines, ancillary departments, health care and community agencies, and third party payers in coordinating care and services for clients.
Essential Requirements
Job Type: Full-time
Pay: $30.00 - $45.00 per hour
Benefits:
Schedule:
Education:
Experience:
License/Certification:
Willingness to travel:
Work Location: In person
Full Time
$92k-111k (estimate)
02/03/2024
04/11/2024
archcc.com
CYNTHIANA, KY
<25
2009
SHARON MARSH
<$5M