The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Resource Management, including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services
Position Requirements
- Florida RN License-active
- Case Management experience 2+ years
- Utilization review experience 2+ years
- Knowledgeable of resident’s financial status, diagnosis and discharge needs.
- Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage.
- BLS certification through AHA or ARC
- set schedule required to include weekends
Position Purpose:
- Responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Resource Management, including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services
- Observe professional ethics in maintaining confidential information acquired concerning the personal, financial, medical, or employment status of patients of North Okaloosa Medical Center and their families.
- Must follow and enforce accepted safety practices for patients and hospital.
- Must participate in safety instructional programs.
- Facilitate patient case management in daily case management with Patient Case Managers, conducting the UR function, and prioritizing discharge planning.
- Teach nurses components of case management through formal and 1:1 teaching.
- Network with all healthcare professionals in facilitating patient discharge planning.
- Communicate numerous data to not only inhouse staff but also external agencies through us of fax machine, computer e-mail, copies of reports to be mailed.
At North Okaloosa Medical Center, we believe in providing convenient care in a comfortable setting. With the help of more than 600 employees, 150 physicians on staff and more than $12 million of recent capital upgrades and renovations, we have created a caring place where clinical expertise and advanced technology blend seamlessly with sincerity and compassion.
We pride ourselves on our unique dedication to the community hospital experience. While we believe it’s vital to stay up to date with technology, we will never lose sight of what’s truly important – the human interaction that is crucial to providing quality care.
Our goal is to anticipate the needs and exceed the expectations of our patients and their families, ALWAYS. North Okaloosa Medical Center stands ready to meet the healthcare needs of the region. We are very proud of the services we provide and it is our goal to make you proud to choose North Okaloosa Medical Center.
INDBFH
ExperienceRequired
- 2 year(s): Clinical experience in direct patient care
EducationRequired
- Associates or better in Nursing
Licenses & CertificationsRequired
Preferred
