CASE MANAGER

Job Description

Medical Center: METROHEALTH MEDICAL CENTER
Department: CARE MANAGEMENT
Employee Status: Active Full-Time
Bargaining Status: Non-Bargaining
Hours Per Pay Period: 80
Exempt Status: Exempt
Work Schedule: WORK HOURS:
Work Hours: DAYS & WEEKENDS VP#: MED OPS - INPT
Shift: 1

Job Summary:

Interacts with third party payors, external case managers and employers to integrate payors with interdisciplinary team through case management process. Assesses patients for potential case management. Negotiates benefits and care plan between patient, team, family, and payor. Monitors effectiveness of plan and customer/third party payor satisfaction, serves as single contact point for customer.

Upholds the standards of the system-wide customer service program.

Required Qualifications:

Associates Degree in Nursing
Three years of hospital in-patient care or home care experience
Able to work independently and as a member of interdisciplinary teams Effective written and oral communication and organizational skills

Preferred Qualifications:

Two years experience with case management, discharge planning, home-health and/or third party reimbursement systems
Experience in specific clinical area desirable
BSN Degree