Generis Tek Inc
Manager of Case Management RN El Paso, TX
Generis Tek Inc, El Paso, Texas, us, 88568
Please Contact
: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist
Nitika Rao at email address
Nitika.Rao@generistek.com
can be reached on # 630-576-1924.
We have
Permanent
role for
Manager of Case Management RN
f or our client
El Paso, TX
Please let me know if you or any of your friends would be interested in this position.
Position Details:Manager of Case Management RN-
El Paso, TXLocation :
1801 N. Oregon, El Paso, TX 79902Position Type : Fulltime| Permanent
schedule Full-time • Days (Rotating Weekends)
Facility DescriptionClient is a 300+ bed full-service hospital in El Paso. It is home to the region's only kidney transplant center. The facility offers a range of services including emergency care with a Level III trauma center, cardiac care, women's services, pediatric care and NICU, cancer care, and more. Client is part of Client. We are a leading healthcare provider for El Paso and the surrounding region that is part of Client Healthcare.
Job SummaryProvides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship as liaison with patient, family, facility staff, physicians, funding representatives and community agencies. Ensures continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities. The duties of the acute care Case Manager may be performed as in the integrated or triad model.
Job Responsibilities:You will communicate proactively and cooperatively with Patient Access, Patient Account Services (PAS) and Central Verification Office (CVO) personnel to ensure proper pre-certification and consistency of admissions status designation between physician order and EMR.You will communicate known changes to patient payer information and other relevant financial characteristics of coverage to appropriate admissions and billing personnel.You will proactively ensure that required clinical justification is provided to third-party payers to obtain recertification for continued hospitalization and treatment and that transfer of this information, together with days approved and contact information is provided timely to the PAS and CVO via computerized insurance review documentation.You will serve as a liaison between third-party payers, patient access PAS, and CVO to ensure communication of all pertinent information regarding level of care, billing and reimbursement.You will work with the patient and family to identify alternate financial resources available to meet the cost of necessary post-discharge needs or to recommend alternate care options when necessary funding is unavailable.You will proactively initiate an expedited appeals process with payers and communicates with denials management regarding anticipated or verified denials and cooperates with denials management to provide additional clinical information for appeals.You will educate patient and family on case manager role and process for contacting the case manager for questions.
Job Qualifications :
RN licensure in the state of TX or Compact State.Associates Degree or BSN completion within 3 years of hire dateMust have Case Management experience within the acute care setting min 2 years
Additional Information:
FTE: 15 employee managing plus PRN about 20 totalASN or higherRotational weekends neededEligible for relocation
To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist
Nitika Rao at email address
Nitika.Rao@generistek.com
can be reached on # 630-576-1924.
About Generis Tek : generis tek is a boutique it/professional staffing based in Chicagoland. we offer both contingent labor & permanent placement services to several fortune 500 clients nationwide. Our philosophy is based on delivering long-term value and build lasting relationships with our clients, consultants and employees. Our fundamental success lies in understanding our clients' specific needs and working very closely with our consultants to create a right fit for both sides. we aspire to be our client's most trusted business partner.
: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist
Nitika Rao at email address
Nitika.Rao@generistek.com
can be reached on # 630-576-1924.
We have
Permanent
role for
Manager of Case Management RN
f or our client
El Paso, TX
Please let me know if you or any of your friends would be interested in this position.
Position Details:Manager of Case Management RN-
El Paso, TXLocation :
1801 N. Oregon, El Paso, TX 79902Position Type : Fulltime| Permanent
schedule Full-time • Days (Rotating Weekends)
Facility DescriptionClient is a 300+ bed full-service hospital in El Paso. It is home to the region's only kidney transplant center. The facility offers a range of services including emergency care with a Level III trauma center, cardiac care, women's services, pediatric care and NICU, cancer care, and more. Client is part of Client. We are a leading healthcare provider for El Paso and the surrounding region that is part of Client Healthcare.
Job SummaryProvides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship as liaison with patient, family, facility staff, physicians, funding representatives and community agencies. Ensures continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities. The duties of the acute care Case Manager may be performed as in the integrated or triad model.
Job Responsibilities:You will communicate proactively and cooperatively with Patient Access, Patient Account Services (PAS) and Central Verification Office (CVO) personnel to ensure proper pre-certification and consistency of admissions status designation between physician order and EMR.You will communicate known changes to patient payer information and other relevant financial characteristics of coverage to appropriate admissions and billing personnel.You will proactively ensure that required clinical justification is provided to third-party payers to obtain recertification for continued hospitalization and treatment and that transfer of this information, together with days approved and contact information is provided timely to the PAS and CVO via computerized insurance review documentation.You will serve as a liaison between third-party payers, patient access PAS, and CVO to ensure communication of all pertinent information regarding level of care, billing and reimbursement.You will work with the patient and family to identify alternate financial resources available to meet the cost of necessary post-discharge needs or to recommend alternate care options when necessary funding is unavailable.You will proactively initiate an expedited appeals process with payers and communicates with denials management regarding anticipated or verified denials and cooperates with denials management to provide additional clinical information for appeals.You will educate patient and family on case manager role and process for contacting the case manager for questions.
Job Qualifications :
RN licensure in the state of TX or Compact State.Associates Degree or BSN completion within 3 years of hire dateMust have Case Management experience within the acute care setting min 2 years
Additional Information:
FTE: 15 employee managing plus PRN about 20 totalASN or higherRotational weekends neededEligible for relocation
To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist
Nitika Rao at email address
Nitika.Rao@generistek.com
can be reached on # 630-576-1924.
About Generis Tek : generis tek is a boutique it/professional staffing based in Chicagoland. we offer both contingent labor & permanent placement services to several fortune 500 clients nationwide. Our philosophy is based on delivering long-term value and build lasting relationships with our clients, consultants and employees. Our fundamental success lies in understanding our clients' specific needs and working very closely with our consultants to create a right fit for both sides. we aspire to be our client's most trusted business partner.