In this role, you will performs admission certification screening for patients in accordance with utilization plan using isd criteria, and performs concurrent stay reviews at least every 72 hours for medical necessity using isd criteria. Maintains documentation on discharge planning notes and charts on patients record.
In this role, you will 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.
In this role, you will be responsible to coordinate and oversee outpatient referrals for integrated medical/behavioral health services to network practitioners based on practitioner specialty and members geographic, cultural and language preferences.
In this role, the selected candidate will participate in performance improvement initiatives, regulatory compliance with TJC, CMS, AHCA and other regulatory agencies, collaboration with leadership in developing and implementing organizational changes to comply with such regulations and standards, educating and training of staff.
In this role, you will collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
The Case Manager is responsible for providing case management and support activities for New Directions members who have been: discharged from inpatient or residential treatment settings, need assistance during a signification treatment transitions, or have co-occurring medical and behavioral health conditions and who meet the NDBH eligibility criteria for integrated case management.