Fidé
Pittsfield, MA, USA
The following experience is required: 3+ years of current Case Manager experience required. 3+ years clinical experience in acute care in areas such as internal medicine, surgery, orthopedics, mother/child, cardiology, and oncology.
3+ years clinical experience in Rehab Setting, Home Health and Long-Term Care would be considered. Ability to perform a comprehensive admission and discharge risk assessment related to quality, financial, payer benefit allowances and limitations, risk management and patient satisfaction. Knowledge of regulatory and accreditation organizations such as Joint Commission, DPH and HealthGrades preferred. Experience specializing in utilization management (levels of care knowledge and demonstrable competence with evidence-based criteria tools), discharge planning to entities throughout a continuum of care, previous care management or third-party insurance review required
Current knowledge of CMS (levels of care determinations), appeal rights & DPH...
Assistant & Support
Nursing
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Employment Type: |
Contract
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