Experience
- Minimum 2 years of Pediatric case management experience required
- Acute care experience required
- Previous travel experience accepted
License & Certification Required
Desired Skills
- ACM certification preferred
- Community Hospital experience preferred
- Trauma Level II experience preferred
- Microsoft Office/Teams experience preferred
Skills Required
- Epic EMR experience
- Care coordination
- CMS: Centers for Medicare and Medicaid Services expertise
- Emergency Department experience
- HIPAA guidelines knowledge
- ICD 10 Coding knowledge
- Needs Assessment/Order DME
- Plan of Care development
- Pre-Cert Review experience
- Prior Authorizations experience
- Utilize InterQual Criteria
- Utilize Milliman Guidelines
