Case Manager PD - RRAL SS

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Riverview Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Located in Gadsden, Alabama, Riverview Regional Medical Center is a 281-bed acute-care hospital serving more than 350,000 residents in Etowah and the contiguous counties. A full range of services and programs are offered, including the only accredited Cath Lab in Northeast Alabama, Sleep Lab, Wound Care and Hyperbaric Center, and Women’s Diagnostic Imaging Center. Riverview Regional Medical Center is accredited by The Joint Commission (TJC) and is rated among the top 5% of hospitals in the nation for patient safety. Riverview is also the areas highest rated hospital, receiving Four-Stars from the Centers for Medicare and Medicaid (CMS). Originally named Holy Name of Jesus Hospital, Riverview Regional Medical Center was founded in 1917 by the Sisters of the Missionary Servants of the Most Blessed Trinity. Riverview was purchased by Prime Healthcare in 2016. Together they continue a mission of providing quality healthcare in the community it so proudly serves. To learn more about Riverview Regional Medical Center and the services it provides, visit

Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING Required qualifications:

1. BSW or other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management;

2. CCM or obtained within 6 months of hire.

3. Experience and knowledge in basic to intermediate computer skills.

Preferred qualifications:

1. Minimum 5 years of acute care experience preferred.

2. At least one-year experience in case management, discharge planning or management, preferred.

3. Current BCLS certificate preferred.

4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Employment Status

Per Diem

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: