Experience
- Minimum 2 years case management experience required
- Pediatric experience required
- Acute care experience required
License & Certification Required
Desired Skills
- ACM certification preferred
- Microsoft Office/Teams experience preferred
- Community Hospital experience preferred
- Trauma Level II experience preferred
Skills Required
- Epic EMR experience required
- Care coordination
- Determine medical necessity per evidence-based guidelines
- Plan of care development
- Utilize InterQual criteria
- Conduct pre-certification and prior authorizations
- Understand CMS and HIPAA guidelines
- ICD 10 coding knowledge
- Discharge planning expertise
