Job perks & benefits!

Tuition reimbursement up to $1,200 per year                                 

Retirement with employer match                       

Onsite daycare with extended hours, holidays and weekends

Onsite fitness facilities

Pharmacy delivery to your unit  

On-site Employee Health services

Opportunity to earn referral bonuses of up to $5,000 per hire for certain positions

1906 Employee Store

20% tuition discount on most classes at Cox College

Cafeteria discount

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 medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by medical staff, accrediting bodies, and other state agencies. Prospectively or concurrently determines the appropriateness of inpatient or observation 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 provide education and information on resource utilization, national and local coverage determinations, and use of hospital admission criteria.

Job Requirements

Education

Required: Graduate of an accredited school of nursing

Preferred: Bachelor's of Nursing with knowledge of InterQual Level of Care Criteria and/or Milliman Care Guidelines and of local/national coverage determinations; familiarity with SIMS procedure indicators and inpatient only listings.

Experience

Required: Minimum of 3 years hospital 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

Current RN License in the state of Missouri

Preferred: Certified Case Manager

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