The Inpatient Case Manager performs initial and concurrent reviews at in and out of network facilities. Takes acitve role in the discharge planning for hospitalized FCA members. Documents all reviews and plans according to FCA and contractual guidelines. The Inpatient Case Manager is also responsible for documentation of reviews and reporting quality indicators. The Inpatient Case Manager reports to the Health Services/Quality Director.
Position Minimum Requirements
ASN degree required. BSN and CCM certification preferred. RN licensure in the state of Florida required. Three to five years of clinical nursing experience required. Managed care, Medicaid and prior case management and discharge planning experience preferred.