1 Job in Sidney, OH
Wilson Health is Hiring a Manager- Case Management Near Sidney, OH
- Access to Employer Direct Care Clinic. Free medical care and pharmacy services for all benefit eligible employees. Dependents are eligible for free medical care if they are covered by Wilson Health's medical insurance plan.
- Generous paid time off program beginning day one of employment.
- Medical Insurance: Choice of Two High Deductible Health Plan Options or a PPO, Dental and Vision Insurance- Coverage Begins Day One of Employment.
- H S A with employer contribution for eligible health plans, FSA for medical and dependent care expenses.
- Company Paid Life Insurance and Long Term Disability Insurance, Salary Continuation benefit beginning day one.
- Voluntary Accident, Critical Illness, and employee and dependent Life and AD&D Insurance.
- Industry leading retirement plan- employer contributions begin day one, no waiting period for participation.
- Tuition Assistance Program.
- When necessary, performs review functions for appropriateness of admission, continued hospital stay, clinical documentation, and best practice standards reporting.
- Conducts the analysis of treatment plans and alternatives, makes recommendations for the most appropriate plan, and coordinates the activities of professional staff, agencies, suppliers and family members in achieving planned outcomes as necessary.
- Performs case audits to verify consistency and effectiveness of compliance with standards of care, documentation, and provision of services.
- Provides clarification and interpretation of Case Management Program guidelines, standards, goals, and expectations.
- Collaborates with other disciplines, oversees the development, implementation, monitoring and modification of the plan of care for the patient through a collaborative and interdisciplinary team approach assigned multidisciplinary care conference and outpatient opportunities for care.
- Conducts multi-disciplinary rounds daily Monday-Friday.
- Functions as a resource for physicians, nursing, and ancillary staff regarding continuum of care to support estimated length of stay, avoidable hospital days, quality measures and discharge planning needs.
- Facilitates education of Case Management staff related to the assessment of the patient’s physical, psychological, functional, social, environmental, and financial status and goals.
- Assists in data gathering and analysis and makes recommendations for program process improvements.
- Participates and supports CQI projects throughout the institution.
- Facilitates appropriate physician documentation to support best practice standards, severity of illness, risk of mortality, and complexity of care for the patient.
- Facilitates case referrals to the Utilization Review Physician Advisor as appropriate.
- Serves as a member of the Utilization Review Committee and provides data related to patterns and trends of utilization and resource management.
- Coordinates management of all inpatient medical necessity denials and appeals and works closely with Revenue Cycle Team to operationalize improvements to reduce denials.
- May manage an individual caseload of patients, to be determined as needed.
- Demonstrates responsibility for own professional growth.
- Performs additional duties as assigned within the scope of responsibility.
- Currently holds an active, unrestricted license to work as a Registered Nurse in the State of Ohio.
- Certification in Case Management from ACMA or CMSA preferred.
- Must have a strong knowledge of utilization review
Job Summary
Full Time
$108k-139k (estimate)
07/23/2023
06/21/2024
wilsonhealth.org
LAKEWOOD, CA
500 - 1,000
1930
MARK WILSON
$50M - $200M
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About Wilson Health
At Wilson Health, improving the health of the community is at the heart of our mission. Our continued growth and expansion of health services and physicians, plus strong partnerships and collaborations, are all part of Wilson Healths purpose to offer better healthcare to our communities, so people can spend more time doing what they love with those they love. For more information or to view a full list of the services offered at Wilson Health, visit www.wilsonhealth.org.
The job skills required for Manager- Case Management include Case Management, Discharge Planning, Life Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Manager- Case Management. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Manager- Case Management. Select any job title you are interested in and start to search job requirements.
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