Attends Department meetings and Corporate Care Management Training sessions in order to maintain current knowledge of all payer and regulatory requirements, UPMC CM policies and procedures, community resources.
The RN Care Manager is responsible for ensuring the continuity of patient care in the post-acute setting (skilled nursing facilities) utilizing the appropriate resources within the parameters of established contracts and patients health plan benefits.
The Complex Care Manager RN is responsible for ensuring the continuity of post-acute patient care by utilizing the appropriate resources for patients with multiple comorbid conditions within the parameters of established contracts and patients health plan benefits.
The maternity care manager (rn) within the bright start department assists members appropriate for care coordination and case management services in achieving their optimal level of health during pregnancy.
As the Care Services Manager, we will look to you to promote our CHIEF core values of compassion, humility, integrity, excellence and fun. The Care Services Manager is responsible for providing quality nursing oversight at an Enlivant community.
The care services manager is responsible for providing quality nursing oversight at an enlivant community. Ensures quality resident care is consistently delivered in accordance with all local, state and federal guidelines.
Collaborates with patients, caregivers, internal/external healthcare providers, agencies and payers to plan and execute a safe discharge; re-evaluate and revise discharge plan as patient clinical condition merits.
The position is responsible for effectively managing open issues and order processing for key customers, including but not limited to validating purchase orders and facilitate the return of items deemed non-returnable to jobbers.
The RN CARE MANAGER is responsible for the coordination of the patient's care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of and interpersonal contact with patients. in accordance with all applicable laws, regulations, and Life Care standards.
The Patient Care Manager is a member of the multidisciplinary treatment team. Major job functions include: conducting psychosocial and CD assessments including gathering info from family and other providers. Identifying discharge needs, barriers to discharge.
Performs clinical review on admission and/or continued stay using InterQual criteria to determine appropriate level of care (Inpatient, OBS, etc.) Obtains all necessary authorizations for level of care including admission and continued stay.