Case Manager (RN) - Patient Management
Company: LifePoint Hospitals
Location: Las Cruces
Posted on: May 3, 2021
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Job Description:
The Case Manager is responsible for facilitating appropriate
health care services throughout the continuum of care. Uses
collaborative and systematic processes to assess, plan and
coordinate the implementation of services that meet the
individual's health needs. Collects and utilizes data to monitor
and evaluate the appropriateness and effectiveness of those
services in accordance with the organizations PI model.
Communicates with physician, payers and other health care providers
to ensure quality care and promote fiscal responsibility through
the appropriate utilization of resources. In the absence of a
dedicated Clinical Documentation Specialist the Case Manager
utilizes advanced knowledge and clinical expertise to direct the
health care providers towards the improvement of clinical
documentation. Facilitates the overall quality, completeness and
accuracy of the medical record. Through extensive interaction with
physicians, nurses and other care givers, achieves appropriate
documentation to support the medical necessity and level of
services rendered to all patients. Assist with the ongoing
development and delivery of education on documentation guidelines,
coding and reimbursement rules for all members of the patient care
team. Provides services to patients throughout the lifespan
including newborns, children, adolescents, adults and geriatric age
groups. Minimum Education: Graduate of a School of Nursing Program. Minimum Experience: At least 3 years of Utilization and case
management experience strongly preferred. Ability to prepare
reports and formal presentations preferred. Certification/Licensure: Current New Mexico or compact RN
licensure required. Certification by the National Association of
Healthcare Professionals or InterQual is desirable. Certification
as a CCM or ACM desired.
Keywords: LifePoint Hospitals, Las Cruces , Case Manager (RN) - Patient Management, Other , Las Cruces, New Mexico
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