Case Manager/Utilization Review

 Trego County Lemke Memorial Hospital - is looking for a full-time Case Manager/Utilization Review.

·         Conducts admission reviews for Medicare, Medicaid and commercial insurance utilizing medical staff approved criteria for admission certification and length-of-stay assignment.

·         Conducts concurrent reviews for Medicare, Medicaid and commercial insurance’s utilizing medical staff approved criteria.

·         Conducts admission reviews on OP/OBS patients for medical necessity and appropriateness prior to conversion to inpatient status.

·         Initiates discharge planning from TCLMH by assessing the patient’s needs and documenting the assessment on the interdisciplinary plan of care.

·         Applies a standard of care for swing bed patients. Updates and institutes policies and procedures as needed.

·         Consults with physician advisors, nursing staff, and staff in ancillary departments to successfully reintegrate patient for continued services.

·         Supports department directors in developing and implementing the necessary teams, tools, and care process changes in parallel with hospital efforts to improve patient outcomes.

·         Work closely with each department head to ensure that all clinical setup and workflow development is aligned with the quality improvement program requirements, goals, and objectives.

·         Current licensure as a RN in the State of Kansas.

·         Previous nurse administration experience preferred.

INSTRUCTIONS ON HOW TO APPLY:

Our application must be completed to be considered for this position. Please send application, resume, education, licensure/certifications (if applicable), to Human Resources 320 N. 13th St., WaKeeney, KS 67672. They may also be dropped off at the hospital business office, emailed to [email protected] or faxed to (785) 743-6317. To request an application by mail or email, please email or call (785) 743-2182. Applications also available on our website: www.tclmh.org

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Salary commensurate with education and experience. We offer a negotiable nationally competitive salary and excellent benefits.

We are a progressive CAH hospital with in-patient, swing bed, out-patient, home health, assisted living, long-term care, and clinic services.

Candidates must be energetic, possess strong leadership skills, willing to work as a team, have a positive attitude, friendly and compassionate toward patients.

For hospital information: www.tclmh.org

For community information: www.tregocountyks.com

TCLMH is an Equal Opportunity Provider/Employer (EOE) and a tobacco free campus