- The Case manager coordinates the care and service of selected patient populations across the continuum of care; promote effective utilization and monitoring of health care resources; maintain accurate knowledge base of payer information for team collaboration; and assume a leadership role with the interdisciplinary team to achieve optimal clinical and resource outcomes.
- The case manager represents department in meetings with senior administration and provides enhanced expert services to all departments with the organization.
- The case manager demonstrates ongoing leadership within the hospital, community and professional organizations as required.
- Recent experience within Utilization Review, Quality Management, and/or Case Management
- Demonstrated experience in oncology nursing Preferred
- Computer-literate, with knowledge of cost accounting and financial data analysis, Medicare and Medicaid regulations, third party reimbursement, medical record coding and pricing of services
- Discharge planning for inpatients
- Utilization Review for inpatients
- Associates Degree in Nursing plus 1 year of relevant Acute Case Management experience may be considered.
- BSN or MSN Preferred
- ACM or CCM Certification preferred
- Demonstrated experience in oncology nursing preferred
- Extensive knowledge of nursing care, healthcare trends, community and healthcare resources preferred.
- Knowledge of state and federal regulations governing discharge planning, utilization management, and other regulatory agency requirements by the Joint Commission and CMS strongly preferred.
- Working knowledge of InterQual criteria preferred Strong interpersonal communication skills preferred.
- Competent computer skills to include Cerner and Microsoft Office products preferred.
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case manager - Tampa, United States - Moffitt Cancer Center
Description
At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
At Moffitt Cancer Center, we come face-to-face with cancer every day, but we also see courage. And it inspires us to be the safest and best place for cancer care – to bring greater hope to every patient we 's why we've been continually named One of the Top Places to Work in the Tampa Bay Area. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Moffitt is the leading cancer hospital in both Florida and the Southeast and has been nationally ranked by News & World Report since 1999. Because working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.
As an important member of the multidisciplinary care team, the Case Manager acts as a patient advocate by coordinating the care and service of patient populations across the continuum of care; promote effective utilization and monitoring of health care resources by collaborating with the health care team; maintain accurate knowledge of federal, state and payer standards; and assume a leadership role with the interdisciplinary team to achieve optimal clinical and resource outcomes. Core processes include risk assessment and management of clinical populations, discharge planning and utilization management.
Moffitt's Case Management Department is looking for a Full Time RN Case Manager to join our team
Position Highlights:
The Ideal Candidate
The ideal candidate will have the following qualifications:
Responsibilities:
Education Level:
Bachelor's Degree in Nursing Preferred
Licensure and Certification:
Minimum 5 years clinical experience in an Acute Care setting required.
Must be able to work independently with minimal direction, anticipate and organize workflow, prioritize, and follow through on responsibilities.
case manager professionals in Tampa
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Amanda Bradshaw
Registered Nurse
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Linda Williams
Utilization Reviewer/Prior Authorization Nurse LPN