12 CASE MANAGER, CRMC Jobs in Jefferson, MO
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New Horizons Community Support Services Inc
Jefferson, MO | Full Time
$51k-67k (estimate)
1 Month Ago
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CASE MANAGER, CRMC
$76k-92k (estimate)
Full Time | Hospital
3 Weeks Ago
MU Health Care is Hiring a CASE MANAGER, CRMC Near Jefferson, MO
CASE MANAGER, CRMC
- 23005897
Job: Social Work/Care Coordination
Primary Location: Jefferson City
Schedule: Full-time
Shift: Day Job
Unposting Date: Ongoing
Description
The Case Manager and Utilization Review, CRMC performs a collaborative process of assessment, planning, facilitation, care coordination, evaluation, advocacy for options/services to meet an individual's/family's comprehensive health needs at Capital Region Medical Center for quality and cost effective outcomes. This role provides utilization review at admission, collaborates with providers, ensures patients appropriate level of care, and ensures correct reimbursement to minimize payment denials.
Location: Jefferson City, Missouri
Shift: Monday - Friday days, rotating weekends.
Department: Care Coordination
Salary Range:$59,322 to $96,762 based on experience.
Shift: Monday - Friday days, rotating weekends.
Department: Care Coordination
Salary Range:$59,322 to $96,762 based on experience.
Essential functions:
- Assess and screen admission to promote early transition planning and risk of readmission; implement pathways and protocols to mitigate readmission.
- Assist in the development of the plan of care for the delivery of appropriate services for patients/caregivers in conjunction with patient, family, patient's physician, and other providers. Counsel, plan and implement discharge transitions with patients and families considering age specific needs.
- Arrange/authorize the delivery of appropriate services as agreed to by patient/caregiver. Coordinate the course of care delivery to ensure timely provision of services and achievement of outcomes.
- Facilitate and coordinate patient progression along continuum of care and discharge planning of complex need patients and or payers. Develop individualized plan of care protocols, pathways, and guidelines by service line, diagnosis, social determinants, or special needs. Interact with the multidisciplinary team to ensure accurate and high-quality documentation practices, policies, and regulations.
- Monitor the delivery of services for timeliness and appropriateness, adherence to plan, quality, and cost escalating issues to attending physicians and hospital leadership.
- Collaborate with other providers (physicians, home care agencies, etc.) to discuss patient/caregiver needs services. Participate in developing community relationships.
- Serve as liaison between other providers, the payer, and the physician, providing ongoing education regarding physician documentation requirements and utilization issues.
- Counsel patient and family, provide assessment of biopsychosocial issues and maintain compliance with mandatory reporting for patient safety issues.
- Work in tandem with legal entities within organization and outside of organization in best interests of the individual patient. Prepare interrogatories and testimony to legal entities as needed.
Employee Benefits
- Health, vision and dental insurance coverage starting day one.
- Generous paid leave and paid time off, including nine holidays.
- Multiple retirement options, including 100% matching up to 8% and full vesting in three years.
- Tuition assistance for employees (75%) and immediate family members (50%).
- Discounts on cell phone plans, rental cars, gyms, hotels and more.
See a comprehensive list of benefits here.
ABOUT US
MU Health Care is a growing academic health system in mid-Missouri comprised of multiple hospitals — including the region’s only Level 1 Trauma Center and region’s only Children’s Hospital — and over 50 specialty clinics located throughout the region.
As an MU Health Care employee, you’ll be part of an exceptional team committed to our mission of saving and improving lives. Our core values of inclusion, respect, service, discovery, responsibility and excellence foster a collaborative work environment where you can grow your career.
Learn more about MU Health Care. Learn more about living in Columbia, MO.
Qualifications
Required Qualifications:
- Three (3) years of clinical experience, which provides knowledge, and understanding of medical terminology, patient diagnoses, treatment protocols and disease process.
- One of the following:
- Master of Social Work degree, or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) licensure by the Missouri State Committee for Social Workers board, or
- Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN. When primary state of residency changes, compact state RNs must apply under new state of residency within thirty (30) days, or
- Occupational Therapist (OT) licensure by the Missouri Board of Occupational Therapy, or
- Speech Language Pathologist (SLP) licensure by the Missouri Commission for Speech-Language Pathologists, and Certificate of Clinical Competency (CCC) certification from American Speech-Language-Hearing Association (ASHA), or
- Physical Therapist (PT) licensure by the Missouri Board of Registration for the Healing Arts or PT Compact multi-state privilege. When primary state of residency changes, compact state PTs must apply under new state of residency within thirty (30) days.
Preferred Qualifications:
- Case management certification or other related specialty.
- Experience in case management, social work or utilization management work.
- Additional license/certification requirements as determined by the hiring department.
Physical Demands: The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position, and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs
Equal Opportunity Employer
The University of Missouri System is an Equal Opportunity Employer. Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law. This policy applies to all employment decisions including, but not limited to, recruiting, hiring, training, promotions, pay practices, benefits, disciplinary actions and terminations. For more information, visit https://www.umsystem.edu/ums/hr/eeo.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status, or any other status protected by applicable state or federal law.
Job Summary
JOB TYPE
Full Time
INDUSTRY
Hospital
SALARY
$76k-92k (estimate)
POST DATE
05/25/2024
EXPIRATION DATE
07/23/2024
WEBSITE
muhealth.org
HEADQUARTERS
COLUMBIA, MO
SIZE
3,000 - 7,500
FOUNDED
1839
TYPE
Private
CEO
MITCH WASDEN
REVENUE
$500M - $1B
INDUSTRY
Hospital
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About MU Health Care
MU Health Care provides patient and family-centered care, education and research for the healthcare sector.
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