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Job Details

PRN UM Case Manager RN

Location: 13685 Doctor's Way, Fort Myers, FL
Department: Utilization Management - Corporate
Categories: Nursing
Type: PRN
Shift: 8:00 AM-4:30 PM
Schedule: Variable

Description:

Performs utilization management functions that assure regulatory compliance, medical necessity and appropriate level of care. Facilitates concurrent documentation in the medical record to accurately reflect care, services and resources utilized in the delivery of patient care. Successfully meets requirements for productivity and accuracy related to all utilization management processes.

Requirements:

Educational Requirements

Degree/Diploma ObtainedProgram of StudyRequired/
Preferred
and/or
Bachelor'sNursingPreferredor
Bachelor'sSciencePreferred

Additional Requirements

Graduate of an accredited school of nursing. BSN or BS in a related healthcare field, or able to obtain within the first year of hire.

Experience Requirements

Minimum Years RequiredArea of ExperienceRequired/
Preferred
and/or
3 YearsAcute CareRequired

Or equivalent utilization management experience within 2 years with a focus on acute care preferred.


State of Florida Licensure Requirements

LicensesRequired/
Preferred
and/or
Registered Nurse LicenseRequired

Certifications/Registration Requirements

Certificates/RegistrationsRequired/
Preferred
and/or
ACM (Accredited Case Manager)Requiredor
CCM (Certified Case Manager)Requiredor
NACCM (National Academy of Certified Care Managers)Requiredor

Additional Requirements

Require Case Management certification, such as ACM, CCM, CMCN or NACCM within 3 years of employment.

Other Requirements

Communication and interpersonal skills, basic computer skills, analytical, grammar and spelling skills. Minimum typing speed of 30 WPM and accuracy testing within 90 days of employment. Basic proficiency with Microsoft Office (Word, Excel and Outlook). Ability to effectively multi-task responsibilities.