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Requisition Number 19-0121
Post Date 7/17/2019
Title Case Manager
City Birmingham
State AL
Description Nurses: Are you interested in working regular business hours and having paid holidays off while still making a difference in people's lives? Join one of the Best Places to Work (as awarded by Modern Healthcare magazine)!
The Case Manager assists in the development, coordination, and administration of the activities involved in Utilization Review and Discharge Planning. This position performs daily reviews of medical records to determine appropriateness and necessity of admission, hospital stay, and ancillary services. These services may be performed on site or telephonically, depending on location.
This position will travel to local areas through a reliable means of transportation insured in accordance with Company policy.
Check out our great benefits and learn more about a future with VIVA Health at
Requirements REQUIRED:
• Graduate of an accredited program of professional nursing, ADN/BSN
• Current RN License in good standing with the State of Alabama Board of Nursing
• 3 years of clinical experience in acute/post-acute care, case management, home health, or behavioral health
• Valid driver's license in good standing
• Knowledge of community resources
• Knowledge of Medicare and Medicaid regulations
• Knowledge of medical claims and claims review process
• Ability to be flexible, adaptable, and able to work effectively in a variety of settings
• Demonstrated excellent customer service skills through written and verbal communication
• Basic computer skills.
• Utilization Review experience
• HMO or MCO experience
• Disease-management experience
• Certified Case Manager
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An Equal Opportunity Employer