The Care Manager utilizes a 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.
In this role, you will work to achieve daily clinical, quality and cost outcomes by providing well-coordinated experiences for patients/families through the synchronization of care activities of multiple disciplines and negotiation with third party payers.
In this role, you will be responsible to provide admission, case management, and follow-up skilled nursing visits for home health patients. Administer on-going care and case management for each patient, provide necessary follow-up as directed by the clinical manager.
In this role, you will collaborate effectively with integrated care team to establish an individualized plan of care for members. The integrated care team includes physicians, case managers, referral coordinators, pharmacists, social workers, and other disease educators
The RN Case Manager promotes the optimal health and well being of patients, their families and caregivers within their homes and communities using a holistic approach that empowers patients/families/caregivers to achieve their highest levels of physical, functional, spiritual, and psychological health.
The field case manager is responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work.