The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review (UR) and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services.
As a RN , 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.
In this role, you will oversee the frequency of visits for the episode, in addition to performing visits and completing coordination of client care.The successful candidate will perform accurate OASIS collection.
In this role, you will determine the appropriate place of contact/intervention with customer including client's home, community agency, provider office, etc. In order to achieve customer satisfaction and a positive outcome.
In this role, you will coordinate the care and services of selected member populations across the continuum of care, promotes effective utilization and monitoring of health care resources, and assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resource outcomes.