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Job Posting

Case Manager/QAPI RN
Assesses, plans, implements and evaluates the needs of patients for swingbed, discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and significant others who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.

Current Alabama RN licensure
Efficient computer skills
Excellent Customer Service Skills
BLS required & ACLS preferred
Must have knowledge of InterQual criteria along with working knowledge of Medicare, Medicaid, and third party insurance
Position will be required to assist with planning, organizing, and maintaining PI/IC Programs in accordance with federal, state, and local regulations
Excellent written, analytical, and oral communication skills
Prior management experience preferred
Must be highly motivated, self-starter, and flexible with work hours including weekend shifts
Position requires Nursing Service call

Additional Information
Position Type : Full Time
Shift : Day

Contact Information
Drew Jones - HR Director
Human Resources
CHATOM, AL 36518
Email: ajones@wchnh.org
Phone: 2518474292

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