Working on one or maybe a few major accounts and is very focused and able to work with a very small account list. This is not just sales but creatively finding ways to improve their customers products by working on running trials, doing joint research, etc.
Works in collaboration with the PI Coordinators and Director of Quality to collect data to reflect trends within the interprofessional care coordination meetings related to quality and outcomes of services.
Promote the overall success of Population Health by effectively facilitating care and improving outcomes across all points of the health care continuum - preventive health and wellness, through chronic care management to end of life care.
Manages the transition of assigned Post Acute patients from acute care setting to the skilled nursing facility and/or home setting utilizing face to face and telephonic outreach to accomplish the goals of the Post Acute Program. Care coordination and facilitation with hospital discharge planners, case managers and hospitalist to obtain Post Acute orders for engagement.
The RN Case Manager will manage each patients care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care delivered by other nursing staff (LPN, HHA) who will be directed / supervised by the RN.