What are the responsibilities and job description for the Case Management position at USPI?
Facilitates progress through the continuum of care, from Pre-Admission through Discharge; Provides feedback to payors on patient's clinical status and secures approvals for additional days of stay; Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators; Evaluates patients for discharge planning needs and appropriately directs the patient's care; Monitors resource consumption for most effective use; Identifies teaching and psychosocial concerns for the best patient outcomes; assists in aggregating data for quality trending; assists in Infection Control surveillance; functions as a Patient Advocate to assist patients in resolving concerns
Required Skills:
Graduate of an accredited school of Nursing
Previous experience in case management preferred, Certification preferred but not required
Current RN license required
Insurance knowledge
Excellent phone skills
Required Experience:
Acute care experience
2-5 years in case management preferred
3-5 years nursing experience preferred
