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To coordinate and ensure the timeliness and of resident assessment processes and documentation as mandated by regulatory agencies and internal policy. To interface with managed care representatives r...
Assesses patients’ needs and develops action plans that provide for the introduction and continuation of enzyme replacement therapy while coordinating the exchange of all patient-related information w...
The Regional Case Management Director serves in the role of educator, advisor and consultant in order to facilitate the implementation and enhancement of case management best practices in hospitals wi...
Collaborates with practitioners, nurses, various agencies and other members of the health care team to select, guide and direct patient care as it relates to discharge planning and the CMS C.O.P. Init...
Monitoring, Evaluation and Documentation of Care: -In collaboration with the member and their care team develops and monitors established plans of care to meet the member’s goals -Utilizes case manag...
Independently conducts initial assessments within designated timeframes for members identified as having complex case management needs (assessment areas include clinical, behavioral, social, environme...
Effective verbal and written communication skills are required to communicate effectively with physicians, staff, hospital clientele, administration, outside agencies, and the public. Excellent organi...
Plans, develops, implements and maintains social services policies and procedures, delivery of social work programs, and discharge planning services. Recommends, develops, and implements new programs...
Partner with director, leaders in client line of business, Legal, and other stakeholders to develop case strategy and resolve issues; utilize knowledge of utility industry practices and/or benchmarks...
Create a personalized care plan for each patient involved in care management to resolve barriers to care, close quality gaps in care, build additional education or contingency planning and engage with...