In this role, you will under general supervision, Nursing Facility SC1 will provide field-based case management services for high risk members residing in Nursing Facilities, their families, and physicians in addressing medical and social concerns.
In this role, the selected candidate will provide care to assigned patients in a caring, safe and efficient manner; provides leadership to staff and is responsible to perform the following according to the company mission, location standards, procedures and individualized patient plans of care.
The Case Manager job will coordinates management of care for a specified patient population in a single hospital; follow patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
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.
In this role, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating.
In this role, you will be responsible for facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management.
In this role, the selected candidate will interact and collaborate with interdisciplinary care team, which includes physicians, transition care managers (i.e., UM inpatient case managers), referral coordinators, pharmacists, social workers, and other educators and nurses.
In this role, you will conduct assessments and coordinate community transitions following the Money Follows the Person program which could include working with NF administrators, coordination of benefits, community home visits to determine home modification needs, and care team meetings.
In this role, the selected candidate will provide admission, case management, and follow-up skilled nursing visits for hospice patients; administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.
In this role, you will collect data from all applicable resources; organizes assessment data so that it is complete and accessible; and then documents findings (legibly) in the medical record or other appropriate documents.
The Case Manager identifies, evaluates, and provides management of services for patients with complex, catastrophic, long term illness or injury, targeted diseases, as well as those patients receiving out of network services.
The RN case manager consults as needed with the physician and the office giving details about patient care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role.
In this role, you will identify potential barriers to the BPCI patients successful transition to the optimal post-acute environment and opportunities to reduce readmission risk in order to promote quality outcomes.
In this role, you will provide admission, case management, and follow-up skilled nursing visits for home health patients; administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.