In this role, you will ensure all admissions and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge planning needs and coordinates the delivery of care to meet these needs.
In this role, you will perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions.
In this role, the selected candidate will perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life.
In this role, you will explain expected length of stay when appropriate. Interpretive skills, frequent interactive and consultative associations, along with management and supervisory skills are inherent in this position. The ability to retrieve, communicate or otherwise present information.
In this role, you will participate in the collaborative process of assessment, planning, facilitation and advocacy for options and services to meet the beneficiarys health needs through communication and available resources to promote quality cost - effective outcomes.
In this role, you will coordinate the overall interdisciplinary plan of care for a patient, from admission to discharge. Acts as a liaison between patient / family and healthcare personnel to ensure necessary care is provided promptly and effectively.
The RN Case Manager consults as needed with the physician and the office giving details about patient care. the Registered Nurse ( RN ) Case Manager is the point of contact for all disciplines involved with providing care to patients and oversees the frequency of visits for the episode.
In this role, the selected candidate will coordinate the overall interdisciplinary plan of care for a patient, from admission to discharge; acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively.
The Nurse Clinician adjuncts the departmental communication and activities and ensures the delivery of quality patient care by complying with and enforcing policies and procedures, mission, vision and core values of the facility.
In this role, the selected candidate will maintain case records detailing service needs and activities/arrangements for their fulfillment, according to data-management procedures established by program management and the funding sources.