Case Manager (RN) - Patient Management in Las Cruces, NM at Memorial Medical Center
Posted on: 15 Feb 2021
Las Cruces, NM
Job Description
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
TheMinimum 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.
LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status or any other basis protected by applicable federal, state or local law.
LifePoint Health, Inc.
Brentwood, TN
Across our network and at our Health Support Center, we are united by a shared mission and vision, core values and guiding principles that drive everything we do and inform our approach to patient care, quality and how we do busine. We know that to achieve our vision of creating places where people choose to come for healthcare, physicians want to practice and employees want to work, we must organize around the right strategies. At LifePoint, our strategies are simple and enduring.
Our Operating Groups
LifePoint's facilities and practices are divided into four operating divisions: Eastern, Central, Mountain and Western. Each of these divisions has a leadership team that mirrors a hospital's leadership team, including a president and dedicated physician and provider leadership resources.
Our Health Support Center
Our Health Support Center (HSC), in Brentwood, Tennessee, has subject matter expertise in every area of healthcare operations and provider services. The HSC is organized to bring resources to bear across the continuum of care, from before a patient accesses healthcare services to after they are sent home, while keeping quality and compliance at the center.
On a daily basis, our group leaders and subject matter experts are working with our local markets to help develop and implement the right strategies that ensure healthcare thrives in their communities.
Our Physicians
Physicians are a critical access point to care in our communities. We work to build and maintain collaborative relationships with both our employed physicians and a broad network of affiliated providers, and we provide a full spectrum of practice management and physician support to help secure the delivery of quality care today and for the future.
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IndustryHealthcare
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No. of Employees60,000+
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Website
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Jobs Posted13300
