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in Albany, GA
Registered Nurse (RN) - Care Manager - $31-41 per hour
•3 days ago
Estimated Pay | $37 per hour |
---|---|
Hours | Full-time, Part-time |
Location | Albany, Georgia |
Compare Pay
Estimated Pay We estimate that this job pays $36.71 per hour based on our data.
$29.15
$36.71
$46.73
About this job
Job Description
Phoebe Putney Health System is seeking a Registered Nurse (RN) Care Manager for a nursing job in Albany, Georgia.
Job Description & Requirements- Specialty: Care Manager
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days
- Employment Type: Staff
\n\nDescription
JOB SUMMARY\n
- Responsible for managing overall Care Management department operations including staffing, budgeting, planning, and regulatory compliance. Directly supervises CM Representatives, Utilization Management RNs, and provides coordination with the Care Managers that are unit based. The Manager CM recommends priorities and provides management for functions of utilization review, including but not limited to medical necessity, authorization, concurrent denials, and post-discharge denials. Works in collaboration with the unit-based Care Managers and their manager to provide critical utilization management during the patient stay including the issuance of hospital-issued denial notices, condition code 44, and QIO requests. He/she helps support the Director to assure consistent practice and outcomes involving appropriate level of care, resource utilization, associated revenue cycle activities, safe patient discharge, care transitions, and readmission prevention. The Manager works collaboratively to build relationships with key internal and external stakeholders; provides education about CM program functions, payer, and regulatory requirements including current trends and potential impact on the department, hospital, or system. Works collaboratively with the Nurse Manager Command Center to ensure the Utilization Plan is met and there are smooth handoffs with medical necessity reviews. \n
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Qualifications
EDUCATION REQUIREMENTS\n
- 4 year / Bachelor's Degree in Nursing, Healthcare, or related field (Required)\n
- Master's Degree (Preferred)\n
- 4 - 5 years Acute care case management (Required)\n
- 3 - 4 years Supervisory and leadership experience with minimum of 2-3 years at manager level in comparable setting (Required)\n
- Required Certifications/Licensures: Registered Nurse (RN) with current Georgia license\n
- Preferred Certifications/Licensures: Certified Case Manager (CCM), Accredited Case Manager\n
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- Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors\n
- Have good - manual dexterity and eye-hand-foot coordination\n
- Ability to perform - repetitive tasks/motion\n
- Standing - Frequently within shift (34-66%)\n
- Walking - Frequently within shift (34-66%)\n
- Sitting - Occasionally within shift (1-33%)\n
- Climbing - Occasionally within shift (1-33%)\n
- Bending/Stooping - Occasionally within shift (1-33%)\n
- Twist at waist - Occasionally within shift (1-33%)\n
- Pushing/Pulling - Occasionally within shift (1-33%)\n
- Lift/carry up to 20 lbs - Occasionally within shift (1-33%)\n
- Lift/carry > 20 lbs with assistance - Occasionally within shift (1-33%)\n
- Reaching above shoulder - Occasionally within shift (1-33%)\n
Phoebe Health Job ID #28474. Posted job title: nurse manager - care management
About Phoebe Putney Health SystemPhoebe Putney Health System is southwest Georgia’s preferred career choice for professionals who want to improve the community’s health by joining a respected, cutting-edge team. We offer you the opportunity to collaborate with the best colleagues in a friendly, close-knit setting that feels like family. Your career at Phoebe will allow you to apply learned skills, explore new paths and advance into greater opportunities.
- Life insurance
- 403b retirement plan
- Medical benefits
- Health savings account
- Employee assistance programs
- Health Care FSA
- Dental benefits