In this role, the selected candidate will provide hospital case management services, including but not limited to utilization management and discharge planning, to assigned patients to assure efficient, cost-effective patient progression from admission through discharge.
This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system for ESRD and CKD patients.
In this role, the successful candidate will communicate and document member's progress toward their recovery; complete assessment and service plan and implements services to members in accordance with their individualized service plan (ISP).
In this role, the candidate is responsible for coordinating and facilitating the patient's hospitalization from pre-admission through post-discharge. Collaborates with physicians, nurses, social workers and other health team members to expedite medically appropriate cost effective care.
The RN CASE 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.
In this role, you will evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues.
In this role, the selected candidate will
act in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
In this role, you will coordinate with all staff necessary to develop a mechanism to monitor patient progress against guidelines and evaluate variances for individual patients and targeted populations.