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.
The RN case manager will identify potential barriers to care and develop an individualized care management plan using a holistic approach to assist members with achieving their identified health goals.
As a RN Case Manager, your ability to manage client care with specific knowledge and experience in bedside care, symptom management, crisis intervention and family intervention are feature assets for this high-profile nursing position.
The RN Case Manager is responsible for admission and concurrent review of patients for Severity of Illness and Intensity of Service, appropriate level of care and discharge planning as outlined in the Utilization Management Plan.
Responsible for providing case management services to maximize opportunities available to people living in the community who are trying to recover from the catastrophic effects of a serious mental illness.
The Case Manager is responsible for ensuring prior authorizations, re-authorizations and appeals are obtained timely as well as ensuring accurate documentation of payer information and patient status. In addition, the Case Manager is responsible for completing a pre-screen to determine eligibility for additional services such as Injection Services, Copay, PAP if applicable.