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Registered Nurse Ambulatory Case Manager job - Confidential - Custer, South Dakota

Company Name

Confidential jobs

Job Location

Custer, South Dakota SD

Job Posted December 24, 2017
Experience 5-10 years experience

Registered Nurse Ambulatory Case Manager  

... Hours 40 Shift Day (United States of America) Job Summary Responsible for collaboration with medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for health needs on an individual basis resulting in quality, cost-effective outcomes. Establishes goals and priorities consistent with mission and goals of Rapid City Regional System of Care, as well as meets requirements of JCAHO and other applicable federal, state, and local regulatory and/or accrediting bodies. Essential Functions: ●Applies up-to-date information related to reimbursement procedures, managed care contracts and patient status in facilitating/collaborating in the plan of care. ●Coordinates the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations. ●Supports compliance with Utilization Review and regulatory guidelines. Identify trends related to compliance of regulations and collaborates with appropriate hospital personnel and external agencies to ensure appropriate process changes are implemented. ●Supports the Medical Staff ...

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