Plan, organizes and manages a patient caseload: applies concepts derived from management and communications theory, group dynamics, counseling methodologies, and clinical nursing judgment to implement a clinical nursing program or programs.
The CCC participates in the development of the plan of inpatient care ,according to patient specific age and/or developmental needs. In collaboration with the multidisciplinary health care team, utilizes clinical pathways in support of the provision of care.
Performs the primary functions of assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care professionals involved in the clients care.
The successful candidate has proven leadership skills and knowledge of state regulatory requirements and URAC. The RN Case Manager will work Monday through Friday during normal business hours in a comfortable and modern professional office environment.
The Clinical Care Coordinator (CCC), or Case Manager under general supervision, the CCC acts independently in coordinating and tracking patient care, and providing discharge planning for patients within an episode of illness.
The Case Manager is skillful in transition of care for health plan members throughout the health delivery system and acts as advocate as well as liaison between providers, and members. Strong acute utilization review and case management background in managed care is essential.
The CM will coordinate with the health care team and the patient/family to address payer issues that impact care, and to develop a transition plan of care that includes a safe discharge plan and plan for follow up with care providers post discharge.
The RN Case Manager II assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas.
The Senior Case Manager/Care Specialist CA Only is responsible for the coordination of services and cost effective management of health care resources to meet individual members health care needs and promote positive health outcomes.
The Case Manager works as a team member with several social service professional and paraprofessional staff ensuring the delivery of quality care in accordance to the rules and regulations established.
Plans, organizes and manages a patient caseload: applies concepts derived from management and communications theory, group dynamics, counseling methodologies, and clinical nursing judgment to implement a clinical nursing program or programs.