Case Management

Modified Time: 11/30/2026 12:00:00

Required Flu Vaccine: Required - Medical/Religious

Exemptions Only Submittals: Low

Job Requirements & Qualifications

Previous Charge Experience: - Years of Experience : 3

Patient Ratio Experience: Charting

System Experience: - Charting

System Name: Community

Hospital Experience: - LTAC Experience : - Trauma

Level I Experience: - Trauma

Level II Experience: - Travel

Experience Required: - Certifications : BLS, BSNSkills : Acute Hospital, Admission Criteria, Admission Criteria, Appeals and Denials, Care coordination, CMS: Centers for Medicare and Medicaid Services, Concurrent Review, Continued Stay Reviews, CPT (Current Procedural Terminology) coding and billing, Department of Health, Discharge Planning, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, Long Term Acute Care/Rehab/Skilled Nursing, Medical Necessity, MS, NCQA (National Committee for Quality Assurance), OSHA, Retrospective Review, SDU/PCU/IMC/Obs, The Joint Commission/ Core Measure/National Safety Goals, Utilize InterQual Criteria, Utilize InterQual Criteria, Utilize Milliman Guidelines, Utilize Milliman Guidelines,