Case Manager II/Exempt

Methodist Le Bonheur Healthcare

Memphis, TN

JOB DETAILS
SKILLS
Access Authorization, Administrative Skills, Calendar Management, Case Management, Certified Case Manager (CCM), Communication Skills, Computer Skills, Computer Terminals, Data Analysis, Equipment Maintenance/Repair, Healthcare, Hospital, Nursing, Organizational Skills, Patient Care, Patient Education, Presentation/Verbal Skills, Registered Nurse (RN), Resource Utilization, Service Delivery, Set Goals, Social Work, Systems Maintenance, Team Player, Utilization Management, Writing Skills
LOCATION
Memphis, TN
POSTED
30+ days ago

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, weve served the health care needs of the people of Memphis and the Mid-South.

• Performs and participates as part of the Case Management team to support a collaborative effort to facilitate quality patient care. This role integrates and coordinates various aspects of service delivery, care facilitation, payor authorizations, service access, discharge and post-discharge activities, and utilization review. • Identifies patients that meet criteria for case management services using an appropriate screening and assessment process. • Communicates necessary information to stakeholders and educates patients and families. • Plans effectively to meet patient needs, manage authorizations and length of stay, and promote efficient utilization of resources (fiscal, human, environmental, equipment and services). • Maintains reliable systems to document, track, and monitor assigned cases. • Performs other job functions as assigned or requested.

• Required - Bachelors Degree Nursing • Preferred - Associates Degree Nursing • Preferred - Masters Degree Nursing

• Required - Case Management 1-3 years • Required - Clinical healthcare (acute or hospital) 3-5 years • Preferred - Substitutions allowed: In lieu of Bachelors degree, the candidate must have an Associates degree in Nursing with minimum seven (7) years of combined clinical and Case Management experience 7-9 years

• Required - Registered Nurse Tennessee - Tennessee Board of Nursing • Required - Accredited Case Manager - American Case Management Association • Preferred - Registered Nurse Mississippi - Mississippi Board of Nursing • Preferred - Registered Nurse Arkansas - Arkansas State Board of Nursing • Preferred - Case Manager - The Commission for Case Manager Certification

• Working knowledge of case management techniques. • Demonstrated oral and written communication skills required. • Demonstrated ability to develop and maintain working relationships with physicians and work collaboratively with health professionals at all levels to achieve established goals. • Demonstrated excellent facilitation skills. • Ability to plan and schedule tasks and to maintain control of own work flow. • General computer skills required, advanced computer skills preferred. • Ability to use initiative in decision-making; independent judgment and critical thinking skills

• There are no supervisory responsibilities assigned to this job; may delegate to UR Specialists and Social Workers, if applicable.

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. • Must have good balance and coordination. • The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. • The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. • Frequent non-invasive patient contact • The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. • This role may be scheduled for weekend and holiday rotations as required by the department.

Boasting one of the Souths largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

About the Company

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Methodist Le Bonheur Healthcare