Case Manager

Care Management

Care Management includes Utilization Management (Utilization Review) Discharge Planning Social Services Clinical Outcomes (Care Managers) Discharge Transition Coaches Nurse Practitioners and Clinical Documentation Improvement.

Role Purpose

Coordinates negotiates procures and manages the care of patients to facilitate achievement of quality cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff internal and external to the organization to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.

Responsibilities

Assesses coordinates and evaluates each patient's plan of care. Establishes continuously evaluates and documents an individualized discharge plan. Ensures clinical documentation and cost-effective use of hospital resources.

Minimum Requirements

Education: Nursing Diploma/Associate's- Nursing Experience: 2 years Supervisor Experience: No Experience Licenses & Certifications: RN

Preferred Requirements

Education: Bachelor's Degree- Nursing Experience: 2-5 years