Nurse Case Manager
Ocala, FL 34470 US
Nurse Case Manager Job Description:
- Responsible for facilitating appropriate health care services throughout the continuum of care.
- Uses collaborative and systematic processes to assess, plan and coordinate the implementation of services that meet the individual's health needs.
- Collects and utilizes data to monitor and evaluate the appropriateness and effectiveness of those services in accordance with the organizations PI model.
- Communicates with physician, payers and other health care providers to ensure quality care and promote fiscal responsibility through the appropriate utilization of resources.
- In the absence of a dedicated Clinical Documentation Specialist the case manager utilizes advanced knowledge and clinical expertise to direct the
health care providers towards the improvement of clinical documentation. Facilitates the overall quality, completeness and accuracy of the medical record.
- Through extensive interaction with physicians, nurses and other care givers, achieves appropriate documentation to support the medical necessity and level of
services rendered to all patients.
- Assist with the ongoing development and delivery of education on documentation guidelines, coding and reimbursement rules
for all members of the patient care team. Provides services to patients throughout the lifespan including newborns, children, adolescents, adults and geriatric age groups.
Nurse Case Manager Benefit Package:
- Competitive Compensation
- Generous Vacation & Holiday Plans
- Medical, Dental & Vision
- Flex Spending Accounts
- Life Insurance
- 401(k) Savings Plan
- Disability & Critical Illness Insurance
Nurse Case Manager Requirements:
- 2 years in Acute Care
- Utilization Review and Discharge Planning
- Interqual Proficiency
- Graduate from Nursing School
- RN in Florida
For more information, please contact:
Lilli del Real