Ortho Case Manager - Full Time
- Full-Time
- Montgomery, AL
- Baptist Health
- Posted 3 years ago – Accepting applications
Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org.
Coordinates care of an assigned caseload of patients through collaboration with physicians, nursing staff and other health professionals to facilitate efficient utilization of clinical resources, optimal clinical and continuing care as well as financial outcomes. Concurrent and retrospective clinical review of medical records to evaluate the appropriate utilization of services, facilitate optimal physician documentation and assignment of optimal DRG, coding assignment to reflect case mix index.
Qualifications
- Graduate from School of Nursing currently RN licensed with the Alabama Board of Nursing. BSN preferred, Case Manager certification strongly preferred.
- At least two (2) years hospital patient care experienced required.
- Previous experience in home care, reimbursement, or hospital insurance preferred.
- Previous inpatient hospital case management experience including utilization review (third party payor reimbursement, DRGs), home care, and social services preferred.
- Must possess basic computer skills.
- Strong oral, written and interpersonal skills.
- Ability to work independently with minimal supervision.
- Must be able to function in high stress environment subject to frequent interruptions and changing priorities.
- Knowledgeable in use of appropriate infection control or isolation techniques when necessary