Georgia Employer CASE MANAGEMENT MANAGER in Atlanta, Georgia
Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady.SummaryThe position works collaboratively with Nursing and Clinical Service line leadership to establish population-based care paths and protocols. The Case Management Manager partners with medical staff to improve integrity of clinical documentation. Coaches staff in process of care management; seeks to integrate case management activities with nursing process. This position identifies potential quality of care concerns and opportunities to improve care and services. The Case Management Manager analyzes and reports clinical quality and utilization date to Executives, Medical Staff and hospital service providers.QualificationsBachelors Degree requiredBSN preferred3-5 years of clinical experience. Knowledge of Case Management practice as demonstrated by 1-3 years CM/UM/QM experience.Minimum of two years experience in Utilization Review/Care Coordinator with knowledge of third party reimbursement requirements.Experience with diagnosis and procedure codingEOE-Females/Minorities/Protected Veterans/Individuals with Disabilities.