Evaluates and revises care plans / assessments based on changes in patients and/or their environments; paricipate in regular case conferences and in-serivce or special case orientations as needed and participates in on-call rotation.
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of diagnostic services.
In this position, you will develop a comprehensive service plan for the Advantage member. The service plan is developed to utilize the members strengths, supports and available resources and is outcome focused.
In this role, you will provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.