Beebe Healthcare in Lewes, DE - Creating The Next Generation Of Care
*** Please note all Beebe Healthcare positions are located in Lewes, DE ***
A Registered Nurse responsible for working collaboratively with the medical staff and other health care disciplines to facilitate patient care throughout the continuum. The case manager will assume a leadership position within the department to direct and coordinate patient care by avoiding duplication and misuse of medical services. The case manager is required to maintain and support the standards of patient care. In order to be considered for the position, please visit our website www.beebehealthcare.orgto fill out an application.
Works to resolve questionable Utilization cases. Knowledge of InterQual criteria and appropriate levels of care. Promotes internal and external understanding of Utilization Management. Maintains familiarity with laws, regulations and their interpretations affecting utilization management processes and UM nurse role at BMC. Follows procedure to issue Hospital Issued Notices of Noncoverage (HINN) notices when appropriate. Leads the treatment team in understanding, monitoring and effective utilization of hospital resources. Displays leadership in promoting corporate integrity.
Monitors for compliance to Federal, State and JC requirements. Takes action when deficiencies are found. Computer Skills/ Allscripts/ Invision/Document Imaging. Documentation competency, skill, and accuracy in entering data into Allscripts software.
Credentials - Essential:
RN - Registered Nurse
Competencies and Skills - Essential:
Clear Communication Skills Both Written And Verbal
Able To Keep Confidential Information Regarding Patients, Team Members
Able To Withstand Crisis Situations
Has Skills To Provides Customer Service To Patients, Team Members And Visitors
Knowledge And Experience With Electronic Health Records
Experience With Excel, Power Point, Word, Visio, Etc.
Three to five years clinical experience.Previous experience in Case Management including knowledge of Interqual criteria and Utilization Management preferred.
Skills include the ability to review cases for appropriate level of care for admission, continued stay and the utilization of discharge screens.
Possess strong communication, problem solving and organizational skills.
Must be proficient in word processing and the use of clinical software.
Education - Essential:
RN Diploma/RN Graduate Program
Our employees play a pivotal role in our continued success. Attracting and retaining the best healthcare professionals is Beebe Healthcare's top priority. We offer an excellent patient-focused environment, exciting career opportunities, and leading-edge technology with supportive, progressive leadership. Joining Beebe Healthcare means joining an exciting healthcare team that is deeply committed to the community. Join us to take advantage of our excellent benefits and compensation package.