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Case Management Manager Full Time Days

Company: Baptist Medical Center
Location: San Antonio
Posted on: June 26, 2022

Job Description:

Summary The individual in this position has overall responsibility for coordinating the daily activities of the case management team, while overseeing the clinical plan of care to conform with evidence-based practice and/or regulatory/payor requirements.
This position integrates functions typically considered to be case management, care coordination and/or utilization management, and discharge planning assessment and coordination.
Responsibilities As such, the individuals responsibilities will include, but not be limited to the following activities:
Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post-acute care) compared to evidenced-based practice, internal and external requirements.
Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidenced-based practice and external requirements.
This priority includes work with relevant software and communicating information through clear, complete and concise documentation in CM software.
Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes.
Remain current with relevant clinical / case management practices.
Assist Director with daily operational oversight and supervision of Departmental staff.

Qualifications:
Education Required:
Preferred: Bachelor of Science in Nursing (BSN) preferred.
Experience Required: Two (2) years acute hospital case management, healthcare or leadership experience. McKesson InterQual experience preferred. Five years (5) acute hospital case management experience preferred.
Certifications Required: Active Registered Nurse license.
Preferred: Accredited Case Manager (ACM)
#LI-AP1
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Job: Case Management/Home Health Primary Location: San Antonio, Texas Facility: Baptist Medical Center Job Type: Full-time Shift Type: Days

Keywords: Baptist Medical Center, San Antonio , Case Management Manager Full Time Days, Executive , San Antonio, Texas

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