Full employer posting
Care Manager Specialty: Care Manager / Case Management Facility Type: Acute Care Facility
Day – 5x8s Shift Timing: 8:00 AM – 4:30 PM Experience Required: 2 years acute medical Care Management experience First-Time Travelers: Accepted Schedule & Requirements 5 days per week, 8-hour shifts. Patient ratio: 1:25. Weekend requirement: Every other weekend (Saturday and Sunday).
One weekday off during the weekend-work week. No floating expectation per initial
; however, floating between nearby sister facilities may be required under compliance. RTO: Maximum 7 days. Must request all RTO and scheduling preferences at submission.
Must work 3 of 5 holidays: Thanksgiving Christmas Eve Christmas Day New Year's Eve New Year's Day Required Experience & Skills Minimum 2 years of acute medical Care Manager experience. Care Coordination. Discharge Planning.
Patient assessment and needs assessment. Determine medical necessity using evidence-based guidelines. Admission criteria.
Disease management. DME assessment and ordering. Plan of care development.
Experience with HMOs and IPAs. CMS guidelines. DRG and CPT coding/billing knowledge.
HIPAA compliance. Experience with ICU, MS, SDU, PCU, IMC, and Observation units. Computerized documentation required.
Charting & Certifications Charting System: Epic – Required License: Compact license must be active and in hand at submission per compliance instructions. Pending license accepted in initial JD only if licensed by start date; compliance instructions require Compact license in hand at submission.