Position is responsible for effectively and efficiently managing patient throughput from admission through discharge for assigned patients. The position conducts review for clinical appropriateness and level of care using evidence based criteria and works with payers to authorize care.
The knowledge base of nursing process, continuum of care and case management methods and standards, excellent communication and documentation skills. Demonstrates knowledge of Age-Specific Criteria, American Nurses Association (ANA) Nursing Scope and Standards of Practice, ANA Code of Ethics for Nurses, Arizona Nurse Practice Act, Core Measures and American Case Management Association (ACMA) Case Management Standards of Practice.
Nursing Degree from an Accredited
Minimum of 3 years acute care hospital experience required and one to two years case management experience.
Current Registered Nurse License in the State of
MIDAS, CuraSpan and InterQual criteria training with proficiency testing within first 90 days of hire.
Bachelor of Science in Nursing.
3-5 years experience in Case Management, Utilization Management or Discharge Planning, in acute care.
Certified Case Manager, CCM or Accredited Case Manager, ACM.
Abrazo Health Care - 17 months ago
Abrazo Health Care is an award-winning health care system, operating an array of hospitals, specialty institutes, a medical group, health...