St. Mary's Good Samaritan RN - Inpatient Case Manager - Weekends in Fenton, Missouri

Description

Role Purpose:

Evaluates insurance coverage while managing the utilization review process from admission to discharge. Completes and updates medical records pertaining to case management and authorizations. This position

participates in a multidisciplinary palliative care team.

Responsibilities:

  • Joins with treatment team in reviewing comprehensive patient/ family treatment plan.
  • Collaborates with physicians and other health care professional regarding patient plan of care and intermediate care goals within proposed time line.
  • Reviews and evaluates discharge planning on all clients while scheduling follow-up appointments.
  • Evaluates insurance coverage for optimal use of benefits while managing the utilization process from admission to discharge.
  • Interviews patient / family members, obtain a complete initial social history including financial information, and communicate with external case managers to receive authorization of payment.
  • Performs all other duties according to entity policies/procedures as assigned.
Qualifications

Minimum Qualifications:

  • Associate Degree or Diploma School Program
  • Required -State of Missouri Nursing License; Preferred – BSN and UR, QA, or CM certification
  • 1 to 3 years of experience

* SSM Health St. Clare Hospital – Fenton –*

SSM Health St. Clare Hospital - Fenton is a full-service, 174-bed state-of-the-art hospital, designed to provide exceptional, patient-centered care. The St. Clare Hospital - Fenton campus – complete with heart, neurosciences and cancer care services; an ambulatory surgery center, outpatient procedure center, outpatient diagnostic center and medical office building – serves the needs of a rapidly expanding population in southwest St. Louis County.

*Benefits Statement: *

Our robust employee benefits package includes health benefits, life and accidental death and dismemberment insurance, long-term disability coverage, health and dependent care reimbursement accounts, paid time off, tuition reimbursement, adoption reimbursement, an employee assistance program, retirement plan options and more.

Note: not all benefits apply to all openings.

Organization: SSM Health St. Clare Hospital – Fenton

Primary Location: Missouri-Fenton-SSM Health St. Clare Hospital – Fenton

Work Locations: SSM Health St. Clare Hospital – Fenton (0113) 1055 Bowles Avenue Fenton, 63026

Job: Nursing

Req ID: 18012546