Summary
Located in Franklin, Tennessee, Williamson Health is one of the South’s most exceptional health care systems with a 203 bed hospital (Williamson Medical Center), over 40 providers at our Williamson Health Medical Group locations, the Bone & Joint Institute and the Monroe Carell Junior Children’s Hospital Vanderbilt at Williamson Medical Center. Williamson Health offers comprehensive in-patient and out-patient services. We have more than 825 providers representing over 70 medical specialties and sub-specialties.
Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We’re committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.
Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being.
o Medical, Dental, Vision
o PTO
o Retirement Matching
o Tuition reimbursement
o Discount programs
o FSA (Flexible Spending Accounts)
o Identity Theft Protection
o Legal Aid
Williamson Health is an equal-opportunity employer and a drug-free workplace.
POSITION SUMMARY
To perform the activities of Case Management and Utilization Management to facilitate the collaborative management for an entire episode of care for all patients with the multidisciplinary health care team, focusing on resource management and discharge planning. Performs timely review and delivery of necessary clinical information according to governmental regulations and insurance guidelines for approval of hospital care and correct admission status optimizing appropriate reimbursement for services, while supporting the mission of Williamson Health.
POSITION REQUIREMENTS
Formal Education / Training:
Workplace Experience:
Recent minimum 5 years related experience in hospital or managed care setting.
Prior utilization/case management experience is preferred.
Equipment and Skills Training:
Demonstrated clinical knowledge base in medical/surgical nursing and or critical care.
Demonstrated organization, time management, problem-solving and critical thinking skills.
Able to perform independently and in team situations under the supervision of a Director/Manager.
Demonstrated effective verbal and written communication skills.
Efficient review and interpretation of the medical record.
Familiar with Meditech, Allscripts Care Management, Fax, Copier, basic computer skills preferred.
General knowledge of Governmental and Insurance guidelines related to case management compliance, reimbursement, DRG system and Interqual Criteria preferred.
Positive attitude with a willingness to learn new processes and adjusts well to change.
Required Weekend Rotation
Physical Environment:
Office and Clinical environment.
Possible exposure to airborne pathogens.
Physical Effort:
Telephone and computer use for extended periods of time.
Able to walk/stand, up to 2 hours/day.
Clear legible handwriting
Clear understandable voice.
PERFORMANCE STANDARDS
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