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LeeHealthCareers

Career Paradise

ca·reer par·a·dise | /ke’rir ,pere’dīs/ noun

Utilization Management Case Manager

Job Details

Location:
Fort Myers, FL

Category:
Patient Quality

Type:
Full Time

Schedule:
Days

Job Ref:
10302

Location: HealthPark Medical Center

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Department: Utilization Management - Corporate

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Workdays/Nights: Variable

9981 So HealthPark Circle

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Shift: Shift 1

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8:00:00 AM to 8:00:00 PM

Fort Myers, FL 33908

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Work Type: Full Time

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Exempt: Yes

Job Summary

Summary:

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.

Job Requirements

Responsibilities:

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 CarePreferred

Additional Requirements

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)Required

Additional Requirements

Require Case Management certification, ACM, CCM, CMCN or NACCM after 3 yrs. employment (time exception provided for unsuccessful attempts).

US:FL:Fort Myers



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