In this role, you will performs Case Management activities to assure medical necessity of admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines. Monitors the utilization of resources of all patients reviewed.
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.
Provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective, quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care.
This individual is responsible for the medical case management of work related injuries which includes assessment, planning, coordination, implementation and evaluation of. injured/disabled individuals.
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 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.
Responsible for overseeing the day to day operations within the Case Management Department; function as the key member of the health care team responsible for ensuring efficient delivery of quality care, resource utilization, and service levels as related to patient care services.
Responsible for the delivery of skilled nursing care and supportive services within the scope of the nurse's education and experience. Compliance with Heartland Corporate Standards and local, state, and federal laws, in an institutional setting, within the policies of the institution. Supplements nursing care of clients.
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.
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.
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.