CASE MANAGEMENT SPECIALIST - WEEKEND OPTION

CASE MANAGEMENT SPECIALIST - WEEKEND OPTION

Job Summary

Facilitates cost-effective, quality patient outcomes by determining the appropriate level of care and providing guidance, education, and support to assigned patients.

Job Responsibilities

• Assessment of complete chart and knowledge of patient's medical condition, financial status, emotional needs, and support systems.
• Conducts initial and concurrent reviews of clinical documentation for medical necessity and appropriate level of care using approved criteria within specified time frame.
• Provides appropriate clinical information to payers as requested within specified time frame.
• Collaborates with the Physician, Medical Director, Director, Manager, and Supervisor of Case Management on patients who are not meeting the regulatory requirements for hospitalization.
• Delivers regulatory letters to patients as needed.
• Provides education and acts as a resource for physicians, staff, and patients / families regarding utilization review processes.
• Trains new case managers, students, and interns as needed.

Qualifications

Skills and Attributes

Physical Demands

Owensboro Health Core Commitments

INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.

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