Case Manager - GCH
Overview:
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country.The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty.
Learn more at www.gch.org.
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: [...]
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:
- BSW or other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management;
- CCM or obtained within 6 months of hire.
- Experience and knowledge in basic to intermediate computer skills.
Preferred qualifications:
- Minimum 5 years of acute care experience preferred.
- At least one-year experience in case management, discharge planning or management, preferred.
- Current BCLS certificate preferred.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.