In this role, the selected candidate will lead and develop the case management team in enhancing outcomes for the members they serve, review analyzes of activities, costs, operations and forecast data.
In this role, the selected candidate will participate in clinical conferences, educational presentations, and performance improvement activities of the Agency; assists Agency in identifying educational needs and interests.
This position provides expertise and leadership to insure effective resource management for patient care delivery (COP 482.30). Case Managers enhance the continuity of care and cost effectiveness by integrating the functions of case management, resource management, clinical documentation management, and discharge planning (COP 482.43).
The OCCM is responsible for the overall coordination of community services and home care needs, and works in concert with inpatient service providers to improve care coordination and communication for the pediatric pulmonary population.
In this role, you will assist with coordination to the next care level and assists Executive Director with BPCI data analysis of key quality & efficiency metrics, informing the facilitys process improvement planning.
In this role, the selected candidate must have must possess good assessment skills, understand accepted standards of practice, and be able to apply to clinical situations; able to problem-solve and make appropriate decisions in independent settings.
In this role, the selected candidate will be responsible to performs psychosocial evaluations, counseling, and gathers information related to the patients current and ongoing overall status from patient, family and medical documentation.
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.