The case manager applies clinical expertise and medical appropriateness criteria and works with physicians to determine appropriateness of hospital stay and appropriate level of care determination (Utilization Review) The case manager assesses patients at admission to begin discharge planning and works with a multidisciplinary team to facilitate appropriate and timely discharge (Discharge Planning). Qualifications: Minimum Knowledge, Skills, Experience Required: . p>Position Summary: The registered nurse/case manager plans, organizes, directs, and provides hospice care and is experienced in nursing, with emphasis on community health education and experience. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. p>Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques. BIRMINGHAM, Alabama30+ days ago Shift: 8a-430p 830a-5p shift 2 holidays per year (1 Summer holiday and 1 Winter holiday) 2 weekend shifts per month Responsibilities: Essential Functions: . Position Summary . Collaborate with primary care providers to ensure the implementation of an individualized, comprehensive care plan with specific interventions designed to engage the member. Prevent adverse patient occurrences when possible and intervene quickly if prevention is not possible, thereby minimizing poor out comes. p>Responsible for the performance of a variety of tasks and services to assure patient is meeting third party payor requirements or Medical Staff approved criteria for hospital admission, continued stay or performance reviews. Assist with daily activities as needed related to the over-all operation of the Quality Management Department and the Medical Center. The Telephonic Case Manager proactively identifies barriers to recovery, develops action plans, and serves as both patient advocate and clinical resource while maintaining compliance with regulatory and client-specific guidelines. We are looking for a Telephonic Nurse Case Manager (RN), who independently manages medical aspects of Workers' Compensation claims, ensuring the delivery of high-quality, timely, and cost-effective care to injured employees. strong>Why Should You Apply? The case manager applies clinical expertise and medical appropriateness criteria and works with physicians to determine appropriateness of hospital stay and appropriate level of care determination (Utilization Review) The case manager assesses patients at admission to begin discharge planning and works with a multidisciplinary team to facilitate appropriate and timely discharge (Discharge Planning). Assist with discharge screening on all patients admitted and identifies patients who have complex physical, psychosocial, financial, or other discharge planning needs and refers those patients to the social worker. Tuscaloosa, Alabama30+ days ago Comprised of DCH Regional Medical Center, Northport Medical Center and Fayette Medical Center, the DCH Health System provides comprehensive services in: cancer treatment, critical care, cardiac services, bloodless medicine, home health care, sleep medicine, occupational medicine, sports medicine, spine/pain care, therapy services, women’s services and much more! Surveillance, Screening & Occupational Health Services: - Performs and coordinates occupational health surveillance and testing activities, which may include drug and alcohol testing, pulmonary function testing, audiometry, vision screening, EKGs, laboratory specimen collection, and immunizations.
Tuscaloosa, AL30+ days ago p>Performs and coordinates occupational health surveillance and testing activities, which may include drug and alcohol testing, pulmonary function testing, audiometry, vision screening, EKGs, laboratory specimen collection, and immunizations. Serves as the clinical liaison among employees, providers, employer leadership, safety teams, insurance carriers, and third‑party administrators, while also providing limited direct clinical care, triage, and first aid as needed. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.\n \nQualifications:\n \nCurrent, unencumbered compact Registered Nurse (RN) license in FL \nExperience in case management of workers comp cases, required \nRecommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire \nSkills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal) \nAbility to operate autonomously with minimal oversight \nSkilled at patient education \nValid Driver\u2019s License, and good driving history. p>Licenses: RN licensure to practice to work in the state of Kentucky; Obtain ACM (Accredited Case Manager) certification within 2 years of hir/transfere date. Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance. |