JOB SUMMARY
Responsible for functional and operational aspects of the Case Management department, to include; ensuring organizational priorities are appropriately addressed, managing the daily department operations while promoting quality, productivity, and efficiency. The Manager, Case Management will provide guidance to staff as well as the multi-disciplinary care team in areas of improved patient care, clinical effectiveness, cost reduction, patient satisfaction, and patient flow and throughput. In addition, this role will be responsible for staffing, budget compliance, coaching, counseling, and education. Will assure compliance with accreditation/regulatory/government regulations and support the mission, vision, and values of Jennie Stuart Medical Center.
Essential Functions
Required Skills
MINIMUM EDUCATION: Graduate from an accredited nursing program.
REQUIRED DEGREE: Bachelor’s degree in Nursing. ACM or CCM Certification preferred.
WORK EXPERIENCE: Must have minimum 5 years acute care clinical experience, 2 years in Case Management with 1-year management experience a plus. Strong clinical and communication skills. Experience with InterQual criteria preferred
LICENSURE: Licensed to practice in State of Kentucky. Current BLS Certification required.
REQUIRED SKILLS: A demonstrated knowledge and understanding of Medicare/Medicare Advantage, Medicaid, commercial insurance, and other third-party reimbursement processes. Proven analytical, leadership, organization, problem-solving skills. Excellent customer service skills.
Required Experience
MINIMUM EDUCATION: Graduate from an accredited nursing program.
REQUIRED DEGREE: Bachelor’s degree in Nursing. ACM or CCM Certification preferred.
WORK EXPERIENCE: Must have minimum 5 years acute care clinical experience, 2 years in Case Management with 1-year management experience a plus. Strong clinical and communication skills. Experience with InterQual criteria preferred
LICENSURE: Licensed to practice in State of Kentucky. Current BLS Certification required.
REQUIRED SKILLS: A demonstrated knowledge and understanding of Medicare/Medicare Advantage, Medicaid, commercial insurance, and other third-party reimbursement processes. Proven analytical, leadership, organization, problem-solving skills. Excellent customer service skills.