Case Manager, Nurse Job at Uniontown Hospital
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Position OverviewPerforms concurrent review of inpatient and selected outpatient cases for medical necessity and appropriateness. Obtains third party payer certifications, coordinates cost-effective resource utilization with physicians and hospital staff and performs bed placement functions. Integrates clinical documentation thoroughness, discharge planning, and social services into care management.
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Education/Knowledge Requirements
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RN Licensure is required, issued by the PA State Board of Nursing
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BS in health care field is preferred
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Certification in specialty area preferred
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Three (3) years clinical experience in the acute care setting
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Effective written and verbal communication skills
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Knowledge of current clinical practice guidelines
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Effective interdisciplinary process skills
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Ability to maintain/update the computer competencies as required for the position
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Utilization management experience
Prerequisites:Essential Job-Related Experience:Preferred Job-Related Experience: -
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