In collaboration with the interdisciplinary team, case managers are responsible for assessing, planning, implementing, monitoring, and evaluating options and services required to meet an individuals health needs. Case managers are responsible for facilitating the timely and appropriate transition of patients along the healthcare continuum. The focus of their efforts is to access quality care for patients by collaborating with payers and providers in developing, implementing and evaluating quality, cost-effective treatment options delivered in the most appropriate setting. Educating members and providers to options in the managed care arena is also part of the case managers daily duties. The case managers endeavor to avoid duplication and fragmentation of care that can frustrate all parties involved-patients, payers, and providers. Identifying and helping bridge the gaps and barriers in the health system and community resources is also part of the case managers focus. Health System Disease Management initiatives are fully integrated into the Case Management position. Specific Case Management interventions are performed for the purpose of meeting Medical Management Objectives.
We’re all unique pieces of a puzzle at Mercy, connected together to create a beautiful picture of health. And being the perfect fit for your role requires a specific set of qualifications that you’ll bring with you:
- Graduated from registered nursing program and bachelors in nursing other health related fields.
- Unrestricted license as a Registered Professional Nurse in the state of Missouri.
Minimum of 5 years diversified direct clinical experience in nursing.
- Certification/Registration: CCM or RN-BC preferred or attained within 36 months of hire.
Requisition ID 2017-745322