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Case Manager
Job Summary:
Under the direction of the Director of Case Management, the Case Manager is responsible for the activities of utilization management, and care coordination in the development and implementation of a discharge plan for an assigned group of patients. The Case Manager serves as a resource for other members of the healthcare team and provides education to team members on issues related to the continuum of care, reimbursement, regulatory agency guidelines and resource use. Through collaborative teamwork, the Case Manager assures that the treatment plan is implemented accurately, in a cost effective and efficient manner in order to promote customer satisfaction and prevent delays in care and discharge. Responsible for reviewing medical necessity indicators to assure that appropriateness of care criteria is met. Document reviews and discharge planning in the medical record and/or the computer system as appropriate. Actively participates and comes prepared contribute to multidisciplinary rounds. Documents avoidable days to support process improvement activities and support other quality improvement programs / projects as needed. Reviews reasons for readmissions, concurrently appeal manage care denials. Collects and maintains data for tracking and reporting for outcome studies and performance improvement.
Other
Hospital
$74k-89k (estimate)
01/06/2024
07/17/2024
cullmanregional.com
CULLMAN, AL
25 - 50
1939
KIMBERLY WOOD
$50M - $200M
Hospital
Cullman Regional is a fully accredited 145-bed medical center which covers a five-county service area of 175,000 residents and has been a part of the community since 1939. Cullman Regional is dedicated to promoting wellness by providing excellent healthcare services in the most efficient manner and exceeding the expectations of those we serve. Cullman Regional generates $98 million in net revenue per year, employs nearly more than 1,200 employees, has 80 active staff physicians and 101 courtesy and consulting physicians, delivers close to 1,000 babies each year, and provides more than $48 mill...ion in annual payroll and benefits. For more information on the services provided by Cullman Regional, visit www.cullmanregional.com
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The job skills required for CASE MANAGER-PRN include Case Management, Coordination, Discharge Planning, Time Management, Critical Thinking, Teamwork, etc. Having related job skills and expertise will give you an advantage when applying to be a CASE MANAGER-PRN. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by CASE MANAGER-PRN. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for CASE MANAGER-PRN positions, which can be used as a reference in future career path planning. As a CASE MANAGER-PRN, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary CASE MANAGER-PRN. You can explore the career advancement for a CASE MANAGER-PRN below and select your interested title to get hiring information.