Case Manager
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Job Location:
Las Cruces, NM - USA
Monthly Salary:
Not Disclosed
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Job Summary
Case Manager
Schedule: this is for a full-time day shift position.
Your experience matters
How youll contribute
A Case Manager who excels in this role coordinates management of care and ensures optimum utilization of resources service delivery and compliance with external review agencies. Additional responsibilities include:
Provides ongoing support and expertise through comprehensive assessment care planning plan implementation and overall evaluation of individual patient needs.
Enhances the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integration of functions of case management utilization review and management and discharge planning.
Serves as a patient advocate through resource utilization discharge planning and addressing the holistic needs of the patient.
Provides care coordination including needs assessment and identification of care options and communicates with patients and families in an interdisciplinary environment consistent with the positions qualifications professional practices and ethical standards.
Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines.
Schedules family conferences and/or communicates with caregiver following each team conference to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement course of rehabilitation stay and plans for discharge.
Coordinates weekly patient care team conferences to facilitate development monitoring and refinement of treatment plan.
Assists with concurrent and retrospective utilization review activities including denials and appeals. Works with physicians to conduct peer review with payer medical director when indicated.
Ensures clinical updates are provided to all insurance payers when due and all payer communications are documented in Meditech.
Coordinates discharge planning needs including but not limited to; home health services physician follow up care durable medical equipment medical supplies healthcare services outpatient therapy dialysis skilled nursing care assisted living care hospice care private duty care etc. Responsible for coordinating all patient care needs prior to discharge ensuring a safe thorough discharge plan. Ensures patient choice is offered and documented as per CMS Conditions of Participation for Discharge Planning.
Performs intake assessment on patient within 24 to 72 hours of admission preferably within 48 hours. Performs follow-up assessments per Case Management Plan and/or hospital policy.
Why join us
We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:
Comprehensive Benefits:Multiple levels of medical dental and vision coverage for full-time andpart-time employees.
Financial Protection & PTO:Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.
Financial & Career Growth:Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.
Employee Well-being:Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).
Professional Development:Ongoing learning and career advancement opportunities.
Certification in Case Management or Rehabilitation Nursing preferred; for example Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC
Minimum of 2 years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred.
Connect with a Recruiter
Not ready to complete an application or have questions Please contact Tara by emailing
More about Memorial Medical Center
Memorial Medical Center is a 199-bed acute medical/surgical teaching hospital located in Las Cruces NM and is part of Lifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.
EEOC Statement
Memorial Medical Center is an Equal Opportunity Employer. Memorial Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 a ... View more
