The Case Manager is accountable for the organization, sequence of services, and resources that are medically necessary and appropriate for the achievement of patient care outcomes within effective time frames. The Case Manager coordinates with the interdisciplinary team to expedite medically appropriate, cost-effective patient care. The Case Manager applies clinical expertise and medical appropriateness criteria to resource utilization, care coordination, and transition/discharge planning; advises the healthcare team, and provides intervention as needed to achieve optimal outcomes. The Case Manager applies the use of data in his/her practice; identifying where to focus efforts, the measurement of progress towards identified outcomes, and as an educational tool. This individual possesses excellent interpersonal, negotiation, influence, and organizational skills and works to effect positive practice changes that lead to improved value in patient care delivery.
Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve. We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.
To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.
Education Required: Minimum of an Associate’s degree in nursing, Bachelor’s degree preferred
Experience Required: Minimum of 5 years’ experience required in a healthcare setting
Experience Preferred: Acute care nursing and case management /discharge planning experience preferred, knowledgeable of HFAP standards, government and private insurance benefits, e.g. Medicaid, Medicare, DRGs, managed care and working knowledge of clinical review guidelines
Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.
EEO Statement: Reid Health is an Equal Opportunity Employer
No Search Firms:
Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health.
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