ARIZONA SPECIALTY HOSPITAL IN CHANDLER ARIZONA IS IN NEED OF A FULL TIME CASE MANAGEMENT RN.
BENEFIT PACKAGE INCLUDING 401K AND GREAT STAFF.
JOB SUMMARY: Assess, plan, implement, coordinate, monitor and evaluate options, services and alternative levels of care to meet a patient’s needs. Promotes appropriate utilization, high quality of care and cost effective outcomes. Communicates with Physicians/Nurse Manager/co-workers, as appropriate. Acts as a consultant and educator on matters referring to alternative levels of care, managed care issues, and community resources.
JOB RESPONSIBILITIES:
- Requires fundamental knowledge of the revenue cycle process, which includes such things as patient access, utilization review, charge capture, HIM and patient accounting.
- Requires the advanced analytical and critical thinking skills necessary to audit patient care data, associated patient care documentation and identify variances in standards of care.
- Requires knowledge of rules and regulations pertaining to hospital reimbursement.
- Requires familiarity with managed care principles and an understanding of post-acute continuum of care.
- Requires the interpersonal skills necessary to maintain effective working relationships and interact effectively with staff, physicians, review agencies, insurance companies, patients and patients'' families.
- Requires the effective communication skills (both verbal and written) necessary to prepare documentation, write appeal letters and to provide education to staff and physicians regarding the revenue cycle process.
- Demonstrates the ability to be self-motivated, detail oriented and make independent decisions. Also demonstrates the ability to respond quickly and appropriately to customer requests.
- Demonstrates a working knowledge of the Hospital's computer systems and proficiency in basic computer skills (i.e., data entry, word processing, spreadsheets, utilizing the internet, etc.). A basic understanding of database applications is desired.
- Demonstrates knowledge of and a commitment to the Hospital's mission and values and the organization's goal of providing world class service.
- Requires the physical ability and stamina to perform the essential functions of the position.
- REGULATORY REQUIREMENTS:
- Graduate of an accredited school of nursing.
- Current Arizona State Registered Nurse Licensure.
- Current BCLS and ACLS certification.
LANGUAGE SKILLS:
- Able to communicate effectively in English, both verbally and in writing.
- Additional languages preferred.
BENEFITS:
- Our competitive salary and benefits package includes medical and dental insurance, 401(k), paid time off and life insurance.
Required Skills
Required Experience