Case Coordinator Discharge Planner

Shift: Fulltime Days. M-F 8:00am-5:00pm

Pre-Employment Requirements:

• We are a drug free facility. Passing a pre-employment drug screening is required.

Position goal:

• Responsible for influencing positive clinical and financial outcomes of a designated caseload of patients.


• Responsible for timely entry, follow-up and management of appeals according to payer rules.


• Writes appeal letters addressing the reason for denial with clinical data to support appeal.


• Communicates with all parties involved in the denial process, including but not limited to, BO, Case Management, Payers, HIM.

Education Requirements:

Applicant must be an LPN/RN or Social Worker.

• Nurse Requirements:
  
  
  
  • Graduate from an accredited school of nursing.
  
  
  • LPN or RN license required.
  
  
  • Current licensure in the State of Alabama is required.
  
  
  • Bachelors of Science in Nursing preferred.  
  
  
  
  


• Social Worker Requirements:
  
  
  
  • Graduate from an accredited school of Social Work.
  
  
  • Current licensure in the State of Alabama required. 
  
  
  
  

Experience:

• Minimum of one year of Case Management and/or Discharge Planning experience required.


• Clinical nursing experience.


• Must demonstrate critical thinking skills and decision-making ability.


• Demonstrates the ability to carry out detailed written or verbal instructions independently.


• Working Knowledge of Microsoft Office (Word, Excel, and PowerPoint)