Case Management Director
Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and significant others who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.
Current Registered Nurse licensure in State of Arizona.
· A motivated, independent individual who can organize workload so that all functions are completed appropriately.
· Working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage.
·2 or more years of clinical experience in an acute care setting. 2 or more years of case management experience and familiarity with Utilization Review concepts.
·Ability to read and communicate effectively in English.
· Additional languages preferred.
·Basic computer knowledge
·For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.
Equal Opportunity Employer Minorities/ Women/ Veterans/ Disabled