Utilization Management Case Manager

Company: Lee Health
Location: Fort Myers
Posted on: October 19, 2020

Job Description:

Utilization Management Case Manager
Location:



13681 Doctor's Way, Fort Myers, FL


Department: Utilization Management - Corporate
Categories: Nursing
Type: Full-Time
Shift: 8:00 AM-4:00 PM
Schedule: Days

Description:
This position is on site in the GPS. Performs utilization management functions in the GPS that assure regulatory compliance, medical necessity and removal of barriers to promote throughput. Facilitates concurrent documentation in the medical record to accurately reflect care, services and resources utilized in the delivery of patient care. Successfully meets requirements for productivity and accuracy related to all utilization management processes.


Requirements:
Educational Requirements Degree/Diploma Obtained Program of Study Required/Preferred and/or Bachelor's Nursing Preferred or Bachelor's Science Preferred Additional RequirementsGraduate of an accredited school of nursing. BSN or BS in a related healthcare field, or able to obtain within the first year of hire.Experience Requirements Minimum Years Required Area of Experience Required/Preferred and/or 3 Years Acute Care Preferred Additional RequirementsOr equivalent utilization management experience within 2 years with a focus on acute care preferred.State of Florida Licensure Requirements Licenses Required/Preferred and/or Registered Nurse License Required Certifications/Registration Requirements Certificates/Registrations Required/Preferred and/or ACM (Accredited Case Manager) Required or CCM (Certified Case Manager) Required or NACCM (National Academy of Certified Care Managers) Required Additional RequirementsRequire Case Management certification, ACM, CCM, CMCN or NACCM after 3 yrs. employment (time exception provided for unsuccessful attempts).

Keywords: Lee Health, Fort Myers , Utilization Management Case Manager, Executive , Fort Myers, Florida