Case Manager RN - MMIL Social Work
Case Manager RN - MMIL Social Work
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Job Description
Overview
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race color sex sexual orientation gender identity religion national origin age (subject to applicable law) disability military status genetic information or any other basis protected by applicable federal state or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc/sites/default/files/202210/EEOCKnowYourRightsscreenreader1020.pdf
Responsibilities
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity intensity of service and severity of illness.
This position is MF 8am4 pm.
Qualifications
EDUCATION EXPERIENCE TRAINING
1. Starting April 1 2015. Minimum 5 years work experience postgraduation of an accredited school of nursing and a current state Registered Nurse license
2. Grandfathered prior to April 1 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However RN Case Manager preferred.
3. Five years acute care nursing experience preferred. At least one year experience in case management discharge planning or nursing management preferred.
4. Current BCLS certificate preferred.
5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
6. Experience and knowledge in basic to intermediate computer skills.
Mercy Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes but is not limited to paid time off a 401K retirement plan medical dental and vision coverage tuition reimbursement and many more voluntary benefit options. A reasonable compensation estimate for this role which includes estimated wages benefits and other forms of compensation is $35.35 to $47.58. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire in which a wide range of factors will be considered including but not limited to skillset years of applicable experience education credentials and licensure.
#LIMP2
Required Experience:
Manager
Employment Type
Full-Time
