Case Manager PRN

Summary

• GENERAL SUMMARY

The Case Manager is responsible for coordinating the case management care plan to meet the individual / caregiver needs, promoting quality, and cost-effective outcomes. This position involves identifying and resolving barriers that may hinder effective patient care and patient progression to a safe discharge in a timely manner. The Case Manager is responsible for the facilitation of clinically pertinent reviews on patient admissions for continued stay reviews including completion of certifications. Reports to department leadership.

Required Knowledge, Skills, and Abilities Professional knowledge of area of responsibility to direct planning and implementation of individualized service plan for eligible children with special health care needs to include medical care, social, developmental, educational, vocational, and financial aspects. Possess the ability to plan, manage and establish a professional working environment within areas of responsibility. Capable of identifying problems and implementing solutions for operational and organizational issues. Demonstrates an understanding of the authorization process with Medicaid and other insurances as well as knowledge of Medicaid regulations. Highly motivated, enthusiastic team player who takes initiative. Strong organizational skills with attention to detail and commitment to accuracy. Possess strong verbal and written to adequately describe patient’s clinical presentation and progress in a comprehensive and concise manner. Strong interpersonal skills as well as, the ability to interact with and build collegial relationships with diverse individuals. Proficiency and technical aptitude with the use of Adobe Acrobat and MS Office products, including Excel, PowerPoint, Outlook, and Word. Preferred Knowledge, Skills, and Abilities Knowledge of utilization review and hospital finance processes preferred.

Additional Information

CHKDHS is an Equal Opportunity Employer.