Perform duties related to the day-to-day operations of the Service Management functions for STAR Kids members to achieve the highest possible levels of functioning and wellness by ensuring consistent, timely access to medically necessary behavioral health services. Monitor quality of care, assist with discharge planning.
Provides ongoing evaluation of the patient and family / caregiver response to care, and recommends alteration of the plan when necessary. Ensure continual assessment of patient and family needs from admission to Bridges home based care throughout the course of care.
The role is accountable for achieving volume, revenue, and margin growth targets within a defined territory by growing Nexeo share within existing customers through the sale of product and service offerings, and by acquiring new customers by providing consultative solutions.
The Case Manager job will coordinates management of care for a specified patient population in a single hospital; follow patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
As a Senior Field-Based Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses.
The Home Health Case Manager is a RN possessing special knowledge of care practices and regulations required for provision of comprehensive care to patients in their homes, managing the care plan for a group of assigned patients.
The RN Case Manager consults as needed with the physician and the office giving details about patient care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role.
Engaging members / families in their homes or in a facility to coordinate services, community resources and treatment needs. Delivering a holistic approach to coordinated care based on the members needs using a person centered approach.