5 Case Manager-Part Time Jobs in Parkersburg, WV
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Case Manager-Part Time
$77k-93k (estimate)
Part Time
1 Week Ago
WVU Medicine Camden Clark Medical Center is Hiring a Case Manager-Part Time Near Parkersburg, WV
Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.
This position comprehensively plans for targeted patient populations. Performs resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of desired treatment outcomes
MINIMUM QUALIFICATIONS:EDUCATION, CERTIFICATION, AND/OR LICENSURE:
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Shift: Exempt/Non-Exempt:United States of America (Non-Exempt)
Company:CCMC Camden Clark Medical Center
Cost Center:406 CCMC Care Management
Address:800 Garfield Ave
Parkersburg
West Virginia
WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.
This position comprehensively plans for targeted patient populations. Performs resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of desired treatment outcomes
MINIMUM QUALIFICATIONS:EDUCATION, CERTIFICATION, AND/OR LICENSURE:
- Current West Virginia licensure as a Registered Professional Nurse or licensure as Registered Professional Nurse in another state with a temporary West Virginia practice permit.
- Five (5) years clinical experience.
- Bachelor’s degree in Nursing (BSN)
- Manages all aspects of transition/discharge planning for assigned patients in a timely manner.
- Collaborates with all members of the multidisciplinary team to facilitate the transition/discharge process for designated caseload.
- Monitors the patient’s progress; intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
- Provides education as needed to staff, physicians, and patients and their families to ensure effective transition planning.
- Meets directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team.
- Communicates with the multidisciplinary team and post-acute providers when applicable, any complex family dynamics that may directly impact patient care and transition/discharge planning.
- Initiates and facilitates referrals to post-acute services- including but not limited to: Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
- Communicates all necessary information regarding transition/discharge plan to the multidisciplinary team, patient and family.
- Provides timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to departmental policy.
- Assists patient/families with completion of medical power of attorney, health care surrogate, and advanced directives
- Collaborates for appropriate resource and financial management which may include but is not limited to: financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination
- Utilizes quality screens in the electronic record to identify potential issues including but not limited to- avoidable delays and readmissions.
- Completes clinical reviews for patients.
- Applies approved utilization criteria to ensure medical necessity of patient’s admissions and continued stays, and documents the findings based on department standards, policy and procedure.
- Screens for appropriate authorization and level of care.
- Facilitates covered day reimbursement certification for assigned patients and discusses payor criteria and issues on a case by case basis with clinical staff (ie. Peer to Peer) and follows up to resolve problems with payors as needed.
- Educates hospital staff and physicians to payer regulations and managed care principals to prevent denials.
- Fosters the integration of staff and/or students into the healthcare team.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Working closely with others.
- Working protracted or irregular hours.
- Working around biohazards.
- Working around infectious diseases.
- Working with hands in water.
- Working with electrical hazards associated with patient care equipment.
- Knowledge of patient’s current medical insurance coverage and limitations and the precertification requirements for Durable Medical Equipment (DME), post-acute placements, infusions, transfers etc
- Knowledge of relevant scientific principles, established standards of care and/or research findings.
- Knowledge of procedures and techniques involved in administering routine and special treatments to patients.
- Knowledge of and appropriate application of the nursing process.
- Knowledge of professional theory, practice and procedure.
- Ability to communicate clearly with patients, families, physicians, and other employees.
Shift: Exempt/Non-Exempt:United States of America (Non-Exempt)
Company:CCMC Camden Clark Medical Center
Cost Center:406 CCMC Care Management
Address:800 Garfield Ave
Parkersburg
West Virginia
WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.
Job Summary
JOB TYPE
Part Time
SALARY
$77k-93k (estimate)
POST DATE
09/02/2024
EXPIRATION DATE
09/27/2024
Show more
The job skills required for Case Manager-Part Time include Patient Care, Coordination, Care Management, Acute Care, Collaboration, Discharge Planning, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager-Part Time. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager-Part Time. Select any job title you are interested in and start to search job requirements.
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The following is the career advancement route for Case Manager-Part Time positions, which can be used as a reference in future career path planning. As a Case Manager-Part Time, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager-Part Time. You can explore the career advancement for a Case Manager-Part Time below and select your interested title to get hiring information.
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