To provide clinically and evidenced based patient care coordination. Support the delivery of safe, effective, high quality and efficient patient care. Collaborates with the care coordination team for discharge planning and implementation of home health care and related services to assigned patients. Coordinates prior insurance authorization for services and medications, coordinates the clinical and financial components of case management.
Bachelors Degree in Nursing required
Minimum Work Experience
1 year as a Case Manager
Required Licenses/Certifications for position
TN or Compact RN licensure required
Case Management certification desired
Required Skills, Knowledge, and Abilities
Computer literacy including word processing
Business skills and excellent written and verbal skills
Working knowledge of payer requirement, contracts and managed care required
Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.
Light lifting, pushing and pulling is required for 10-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending and reaching is required. Keyboard/computer use and/or repetitive motions may be required.
East Tennessee Children's Hospital is a 152-bed hospital certified by the state of Tennessee as the only Comprehensive Regional Pediatric Center in East Tennessee and is accredited by the Joint Commission. As a Comprehensive Regional Pediatric Center, Children's Hospital offers full capabilities to care for seriously ill children in a unique pediatric environment and offers the services of many different pediatric subspecialties. Children's Hospital works jointly with the University of Tennessee Medical Center to ensure that injured children in this region receive trauma care at the institution most appropriate for the child's needs. We also assist smaller hospitals by providing pediatric health care training opportunities.