Access Case Manager in Henderson, NC at Maria Parham Health

Date Posted: 9/5/2017

Job Snapshot

Job Description

Maria Parham Health

The Access Case Manager is responsible for ensuring proper patient admission status through the performance of utilization review activities to include medical necessity of admissions, appropriateness of setting and medical necessity of professional services. This individual will work closely with physicians to assure clinical documentation best captures patient acuity. The ACM ensures that insurance information is accurate and complete, completes initial and continued stay reviews for commercial payors and will serve as a participant in the denial process. The ACM must understand the needs of the organization and support the mission, values and management of patient care services and patient financial services. This position will be located in the Emergency Department and will also be responsible for assisting ED patients with local resources as needed at discharge.

Job Requirements

  • Current licensure as an RN or LPN
  • BLS is required
  • Experience in Utilization Review is preferred

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran


  1. Nurse Jobs
  2. RN Jobs