Home Health RN Case Manager
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What you'll do
- Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
- Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
- The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
What they're looking for
- Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
- Previous Home Health experience preferred.
- Current BCLS certificate, preferred
- Experience and knowledge in basic to intermediate computer skills.
Nice to have
- Five years of acute care nursing experience. preferred
- CCM or obtained within 1year
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Ohio Valley Home Health is affiliated with East Liverpool City Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Responsibilities
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Required Qualifications:
1. Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license2. Previous Home Health experience preferred.
3. Current BCLS certificate, preferred 4. Experience and knowledge in basic to intermediate computer skills.Preferred Qualifications:
5. Five years of acute care nursing experience. preferred6. CCM or obtained within 1year7. Knowledge of Milliman Criteria and InterQual Criteria preferred.
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Company
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