POSITION SUMMARY
A self-directed and assertive registered professional nurse with a clear understanding of the global picture of care facilitation.
The CM Supervisor provides leadership, direction, and coaching to the healthcare team with a primary focus on matching patient care needs to the appropriate admission or continued stay status through the use of evidence-based tools, physician engagement and clinical expertise. The purpose of this focus is to ensure the patient stays at the appropriate care level and ensures medically necessary adjustments are made that promote quality care outcomes and cost effective transitions.
The CM Supervisor is a subject matter expert who ensures prompt and complete clinical information is submitted to payers for initial and continued certification consistent with the use of standards of patient care and nursing practices, actively works to mitigate both concurrent and post-discharge denial risks and is actively involved with the appeals processes.
The CM Supervisor provides real-time information on current patient status and needs to ensure proper progression through the healthcare system, issuing updates on a daily basis so that all team members are aware of patient needs.
The CM Supervisor adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Day shift, 7-10 hr/shift, weekdays only
MUST TO HAVES :
NICE TO HAVES :
Our vision is to serve our communities’ evolving healthcare needs by cultivating a network of compassionate, dedicated professionals. We are committed to working together, using best practices, improving quality, and assuring an exceptional patient experience.
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