Experienced RN Case Manager - Revenue Cycle: DeKalb Medical, North Decatur Campus
Full-time Case Manager position currently available for experienced case manager to work in finance/revenue cycle. Previous experience in finance, payer, utilization and appeals in hospital setting is preferred. Duties will include:
Writing Appeal Letters for Authorization and Medical Necessity Denials
Must be self-starter with exceptional communication skills both written and oral. Hours are 8a-5p M-F. Must have active unrestricted RN License, BSN preferred but not required.
The Case Manager functions as a member of both a unit-specific and an organization-wide team promoting excellent overall care management of patients admitted to the hospital in either inpatient or observation status. The Case Manager combines their professional knowledge base and experience with critical thinking skills and an organized, team approach to support the delivery of effective and efficient patient care. Accountable for the utilization management, care coordination, and discharge planning for patients within the assigned case load.
Provides patient care, treatment, and services within the scope of their license, certification, registration, and/or assessed competencies. Practice will be in accordance with laws and regulations and will adhere to established policies, procedures and practice guidelines.
Minimum Education, Experience and Licensure Required:
Skills, Knowledge and Abilities:
Reports to: Lead Care Manager, Manager Care Management
Positions Supervised: Care Management Interns