Regional Case Manager

Job Description - Regional Case Manager

This position will perform the responsibilities listed below for our facility in Maricopa and soon to be facility in Prescott

Job Overview

Here at Exceptional Healthcare, we strive for excellence in the industry. We are a micro hospital with 3 Arizona facilities located in Bullhead City, Maricopa, and Yuma. We are looking for a unique Case Manager to ensure excellent care and the best patient outcomes. The ideal candidate is an exceptional Case Manager with an interest in developing skill in other areas of hospital management. Areas that either impact or are impacted by case management will be overseen by you to ensure enough work for a full-time role. These areas include Quality/Performance Improvement and Infection Control and Prevention. Exceptional Healthcare is a great place to grow!

Responsibilities

Coordinate and facilitate patient care through assessment, evaluation, planning, and implementation
Communicate patient needs to a variety of care team members and follow up accordingly
Manage safe, effective discharge plans upon completion of treatment
Work collaboratively with patients, families, physicians, and nurses to ensure high quality care
Act as the patient's advocate as it relates to insurance coverage and financial assistance
Maintain the patient's comprehensive clinical record through detailed documentation
Coordinate with third party payors on a regular basis
Serves as a utilization manager to determine appropriateness of admission, level of care and continued stay.
Maintains a working knowledge of Medicare and private insurance companies and ensures that quality of care is maintained or surpassed
Coordinate insurance appeals as needed
Collects quality indicators and variance data and aggregates, reporting data to Utilization Committee and/or appropriate department(s).
Facilitates Quarterly Utilization Review Committee
Performs other duties as assigned and accepts new tasks as opportunities for growth.

Qualifications for Case Manager

Registered Nurse in state of practice
Certified Case Manager, preferred
3-5 years of clinical experience, preferably in case management, or related experience
Ability to walk and stand 50-80% of the time
Proficient computer skills including experience with Microsoft Excel
Strong written and verbal communication skills
Excellent clinical assessment and analytical skills

SCHEDULE:

8-hour shift Monday through Friday (9AM - 5PM), varies depending organizations needs
Weekend availability if needed
Occasionally travel between different Arizona facilities

BENEFITS:

Health insurance
401(k)
Dental insurance
Vision insurance
Life insurance
PTO

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Regional Case Manager

Job Description - Regional Case Manager

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