Communication with claimants, medical professionals, claims staff and others to obtain information necessary to make sound medical decisions. In addition, responds to various written, telephone and/or in-person inquiries regarding status of case.
The Care Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and / or health needs through communication and available resources to promote optimal, cost - effective outcomes.
The RN Case Manager promotes the optimal health and well being of patients, their families and caregivers within their homes and communities using a holistic approach that empowers patients/families/caregivers to achieve their highest levels of physical, functional, spiritual, and psychological health.
To manage the delivery of safe and effective care of the Oncology Service, and to ensure that age-appropriate and developmentally appropriate care is provided to all patients in the population served, per applicable standard.
The field case manager is responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work.
In this role, the selected candidate will be overseeing population management activities with the Care Coordinators which includes addressing quality indicators that are out of range and assisting patients to reach targets.
In this role, the selected candidate will be responsible for participating and facilitating staff participation in nursing and organizational policy formulation and decision making; evaluating the quality and appropriateness of patient care.
In this role, the selected candidate will
perform a comprehensive client assessment at admission and on an ongoing basis, initiating referrals for additional services as needed to obtain the highest quality outcomes for client.