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This position performs a major role in the monitoring and evaluation of patient care practices. This person assists in meeting the psychosocial needs of patients and provisions of discharge planning services to patients and their families with personal or environmental difficulties which may interfere with obtaining maximum benefits from medical care, assuring timely discharge and effective post-hospital care. This person must be able to apply the six essential activities within the five core components of: Coordination and Service delivery; Physical and Psychological factors; Benefits systems and cost benefit analysis; Case management concepts; and Community resources. The six essential activities are: Assessment, Planning, Implementation, Coordination, Monitoring and Evaluation. These core components and essential activities must be applied across a continuum of care that addresses the ongoing needs of the individual being served by case management process, and deal with the person’s broad spectrum of needs. Reviews all denials and appeals decisions as appropriate. Performs insurance pre-certification and updates. Assist physicians with coordination of patient care serving as Physician assigned case managers.
Must be a Kentucky State Licensed Registered Nurse with a minimum of an Associate’s Degree. Required to have or obtain Case Manger Certification (ACM) within two years of hire date. Previous experience is preferred. BLC certification is required. Basic required skills include: organization, customer relations, grammar/spelling, computer training, the ability to follow written and oral direction, and the ability to read, write, speak, and understand English.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
About the Company:
JobRapido
Full Time
$76k-92k (estimate)
02/22/2024
04/21/2024
jobrapido.com
San Francisco, CA
25 - 50
The job skills required for Case Manager include Case Management, Patient Care, Coordination, Planning, Discharge Planning, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager. 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. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Case Manager positions, which can be used as a reference in future career path planning. As a Case Manager, 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. You can explore the career advancement for a Case Manager below and select your interested title to get hiring information.