Case Manager RN- Full Time Flexible- Case Management - Hialeah, Florida - Case Management
Company: Care System
Posted on: January 15, 2022
Performs Case Management activities to assure medical necessity of
admissions and appropriateness of continued stay utilizing the
Interqual Criteria guidelines. Monitors the utilization of
resources of all patients reviewed. Maintains confidential
communication with physicians and multi-disciplinary personnel to
meet individual needs or the patients served. --Functions as an
independent contributor as well as a team member.
Communication is an essential skill requiring the ability to see,
hear, and speak. --Fluent in written and spoken English. --Must be
able to fulfill the essential functions of the position. --Possess
three or more years of acute care hospital experience preferred.
--Familiar with the operations of the healthcare industry and
healthcare delivery systems. --Able to use the medical record in
order to obtain clinical information to perform Interqual reviews.
--Utilize Outlook, and the computer based systems (AllScripts) to
perform reviews. --Work experience in Medical-Surgical, Telemetry,
Critical Care, and/or Pediatrics, NICU preferred.
Licenses & Certifications:--
Current Florida RN Licensure.
Must possess a solid clinical background to accomplish extensive
Medical Record review.
Computer skills preferred
Keywords: Care System, Hialeah , Case Manager RN- Full Time Flexible- Case Management - Hialeah, Florida - Case Management, Executive , Hialeah, Florida
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