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Case Manager (RN) - Patient Management

Job Description

Memorial Medical Center

The Case Manager is 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.

Job Requirements

Minimum Education: Graduate of a School of Nursing Program. Minimum Experience: At least 3 years of Utilization and case management experience strongly preferred.  Ability to prepare reports and formal presentations preferred.Certification/Licensure: Current New Mexico or compact RN licensure required.  Certification by the National Association of Healthcare Professionals or InterQual is desirable.  Certification as a CCM or ACM desired.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Job Snapshot

Location US-NM-Las Cruces
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
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Company Overview

Memorial Medical Center

Located in the Mesilla Valley of southern New Mexico - between the stunning Organ Mountains and the rambling Rio Grande - Memorial Medical Center serves the 300,000 residents of Las Cruces, Doña Ana County, and the surrounding region. We offer comprehensive care to our patients, including the latest in diagnostic, therapeutic, and rehabilitative services, both on an inpatient and outpatient basis. Learn More

Contact Information

US-NM-Las Cruces
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Snapshot
Memorial Medical Center
Company:
US-NM-Las Cruces
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

Memorial Medical Center

The Case Manager is 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.

Job Requirements

Minimum Education: Graduate of a School of Nursing Program. Minimum Experience: At least 3 years of Utilization and case management experience strongly preferred.  Ability to prepare reports and formal presentations preferred.Certification/Licensure: Current New Mexico or compact RN licensure required.  Certification by the National Association of Healthcare Professionals or InterQual is desirable.  Certification as a CCM or ACM desired.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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Case Manager (RN) - Patient Management Apply now