This position performs daily concurrent medical record review for medical necessity and level of care appropriateness, post-hospital planning, social service case findings and intervention, and quality and risk management related issues.
In this role, you will completes initial case evaluation by assessing injury/disability severity, treatment plans, functional abilities and physical job requirements and then establishes case-specific target return-to-work (RTW) dates.
The Case Manager/Care Coordinator II 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 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.
In this role, you will be responsible to
supervises and coordinates patient care and field employees for services provided by trinitycare extended care. Works independently in carry out assigned duties in the field with limited supervision. The position emphasis will be on care coordination, communication and collaboration with nursing, physicians, acute care service provides and insurers to pace the care towards optimal outcomes within appropriate level of care.
The Case Manager has an understanding of current CMS compliance regulations. Applies standardized and approved criteria for medical necessity or need to admit and level of care and documents its application.
In this role you will delivery and coordination of care during a single episode of hospitalization through discharge to home or to next level of care. Also responsible for tracking of quality measures related to care coordination efforts.
In this role, you will develop and implement a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.
In this role, you will be responsible for discharge planning for patients admitted to hospital, daily reviews in MCG, visiting patients on the floor and coordinating care with hospitalists, nurses, PT,OT, HH, ambulatory care managers and other discipline.
TheCase Manager job will coordinates management of care for a specified patient population in a single hospital; follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
The RN Case Manager I provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace the care for outcomes while meeting core measures within the appropriate level of care.
In this role, the selected candidate will be responsible for discharge planning for patients admitted to hospital, daily reviews in MCG, visiting patients on the floor and coordinating care with hospitalists, nurses, PT,OT, HH, ambulatory care managers and other discipline.
In this position you will the case manager 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.
In this role, you will be acts as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care.