Case Manager-RN Job

Full Job Title: Case Manager RN

Job Number: 17011427

Facility: SSM Health DePaul Hospital

Location: Bridgeton, MO

Schedule: Part Time (Benefit Eligible), 8 Hour Day, Weekends

Hours: 8-4:30

Description

Role Purpose:

Evaluates insurance coverage while managing the utilization review process from admission to discharge. Completes and updates medical records pertaining to case management and authorizations. This position participates in a multidisciplinary palliative care team.

Responsibilities:

    • Joins with treatment team in reviewing comprehensive patient/ family treatment plan.
    • Collaborates with physicians and other health care professional regarding patient plan of care and intermediate care goals within proposed time line.
    • Reviews and evaluates discharge planning on all clients while scheduling follow-up appointments.
    • Evaluates insurance coverage for optimal use of benefits while managing the utilization process from admission to discharge.
    • Interviews patient / family members, obtain a complete initial social history including financial information, and communicate with external case managers to receive authorization of payment.
    Qualifications
    Minimum Qualifications:
    • State of MO RN License.
    • Associate Degree or Diploma School Program.
    • 1 to 3 years of experience.
    Preferred Qualifications:
    • BSN and UR, QA, or CM certification.

SSM Health DePaul Hospital is a 476-bed hospital offering comprehensive medical services, including inpatient and outpatient surgeries using state-of-the-art technology and facilities. Opened in 1828, DePaul Hospital - St. Louis was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St. Louis. DePaul Hospital serves patients from across the St. Louis metropolitan area, including the communities of Bridgeton, Florissant, Hazelwood, St. Ann, St. John, Maryland Heights and Overland.

SSM Health is an Equal Opportunity and Affirmative Action Employer. Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law. Learn More »


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