Job Summary
The nurse case manager collaborates with the physician and members of the multidisciplinary team to facilitate progression-of-care; monitors the patient's progress, intervening appropriately to ensure that the plan of care and services provided are patient focused, high quality, evidence based, appropriate to patient needs, efficient, and cost effective. Conduct concurrent medical record review for authorization of care. Prospectively or concurrently determines the appropriateness of home infusion services following review of relevant medical documentation, medical guidelines and insurance benefits and communicates information to payers in accordance with contractual obligations. Serve as a resource to the physicians and referral sources as well as the case management team within the medical facilities.
Job Requirements
Education
Required: Graduate of an approved practical nursing program
Experience
Required: Minimum of 3 years nursing experience
Preferred: Previous intake, insurance authorization and verification experience
Skills
Excellent interpersonal skills, including ability to be genuine and empathetic
Excellent communication (verbal and written) skills with attention to detail
Computer skills
Ability to interact professionally and contribute to the interdisciplinary team
Licensure/Certification/Registration
Required: Missouri LPN license
