RN Case Manager

• We offer Excellent Benefits/Lowest benefit cost of any area hospital to our employees!
• You are fully vested in the retirement match after 90 days (typical to be years of employment)!
• Our parking is free and close to your work area.
• Our hospital is modern and updated.
• We are found within commuting distance to both Huntsville and Birmingham yet offering a small town/family culture with access to metropolitan amenities.
• RN to BSN tuition paid 100% thru Jacksonville State University (JSU) or University of AL at Huntsville (UAH)! Need Loan Forgiveness? We are approved for the U.S. Rural Loan Forgiveness Program.

Job Summary:

• Under the direction of the Director of Case Management, the Case Manager is responsible for the activities of utilization management, and care coordination in the development and implementation of a discharge plan for an assigned group of patients.

• The Case Manager serves as a resource for other members of the healthcare team and provides education to team members on issues related to the continuum of care, reimbursement, regulatory agency guidelines and resource use. Through collaborative team work, the Case Manager assures that the treatment plan is implemented accurately, in a cost-effective and efficient manner in order to promote customer satisfaction and prevent delays in care and discharge.

• Responsible for reviewing medical necessity indicators to assure that appropriateness of care criteria is met. Document reviews and discharge planning in the medical record and/or the computer system as appropriate.

• Actively participates and comes prepared contribute to multidisciplinary rounds. Documents avoidable days to support process improvement activities and support other quality improvement programs / projects as needed.

• Review reasons for Readmissions, concurrently appeal manage care denials. Collects and maintains data for tracking and reporting for outcome studies and performance improvement.

Qualifications:

• Current, valid, unrestricted AL RN license required. BSN preferred. Case Management certification preferred.
• Five (5) years clinical experience preferred.
• Basic computer skills (including Microsoft Word, Excel, Access and Office), fax copier and other office equipment experience required.
• Effective communication skills (verbal and written), time management and critical thinking skills required.
• Working knowledge of healthcare reimbursement, counseling, community resources, continuum of care and team building preferred.

Job Types: Full-time, PRN

Pay: $22.50 - $40.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Free parking
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Critical & Intensive Care
• Medical-Surgical

Physical setting:

• Hospital

Schedule:

• Day shift
• Monday to Friday

Ability to commute/relocate:

• Cullman, AL 35058: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• Nursing: 1 year (Required)
• Case management: 1 year (Preferred)

License/Certification:

• RN (Preferred)

Work Location: One location

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