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Job Details

Utilization Management Case Manager

Location: Fort Myers, FL
Department: UTILIZATION MANAGEMENT
Categories: Nursing
Type: Part-Time
Shift: 8:00 AM-4:30 PM
Schedule: Days

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:

Experience: Minimum of 3 years recent acute care hospital clinical experience or equivalent UM experience within 2 years with a focus on acute care preferred.
Training: On the job.
License: Currently licensed as a RN in the State of Florida. Require Case Management certification, ACM, CCM, CMCN or NACCM after 3 yrs. employment (time exception provided for unsuccessful attempts).
Other: 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.


Job Specifications (Physical & Mental Requirements) External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis. If the requirement is not marked, then it is considered not applicable. General Requirements (has the ability to…) Sit - Continually ( i.e. Daily) Stand - Continually ( i.e. Daily) Walk - Continually ( i.e. Daily) Drive - Occasionally (i.e. Monthly) Climb - Occasionally (i.e. Monthly) Kneel - Occasionally (i.e. Monthly) Crouch - Occasionally (i.e. Monthly) Twist - Occasionally (i.e. Monthly) Maintain Balance - Continually ( i.e. Daily) Reach - Continually ( i.e. Daily) Sensory Requirements (has ability for…) Far Vision - Occasionally (i.e. Monthly) Near Vision - Continually ( i.e. Daily) Seeing Fine Details - Continually ( i.e. Daily) Hearing Norm Speech - Continually ( i.e. Daily) Hearing Overhead Pages - Continually ( i.e. Daily) Telephone use - Continually ( i.e. Daily) Mental & Emotional Requirements (ability to…) Cope with high level of stress - Continually ( i.e. Daily) Make decisions under high pressure - Continually ( i.e. Daily) Cope with anger/fear/hostility of others in a calm way - Continually ( i.e. Daily) Manage altercations - Continually ( i.e. Daily) Concentrate - Continually ( i.e. Daily) Handle a high degree of flexibility - Continually ( i.e. Daily) Handle multiple priorities in stressful situation - Continually ( i.e. Daily) Work alone - Continually ( i.e. Daily) Demonstrate high degree of patience - Continually ( i.e. Daily) Adapt to shift work - Occasionally (i.e. Monthly) Work in areas that are close and crowded - Continually ( i.e. Daily) Hand Manipulation (ability with…) Simple Grasping - Continually ( i.e. Daily) Firm Grasping - Occasionally (i.e. Monthly) Fine Manipulation - Occasionally (i.e. Monthly) Use of Keyboards - Continually ( i.e. Daily) Required Lifting (ability to lift…) Up to 10 lbs - Continually ( i.e. Daily) Pushing/Pulling (ability to push and pull…) Up to 10 lbs - Continually ( i.e. Daily) 11 to 24 lbs - Frequently ( i.e. Weekly) Environmental (may be exposed to…) Infectious Diseases - Continually ( i.e. Daily) Chemical Agents - Occasionally (i.e. Monthly) Dust, Fumes, Gases Occasionally (i.e. Monthly) Extremes in Temperature or Humidity - Occasionally (i.e. Monthly) Hazardous or Moving Equipment - Occasionally (i.e. Monthly) Unprotected Heights - Occasionally (i.e. Monthly) Loud Noises - Occasionally (i.e. Monthly)