Hospital LVN Case Manager

Job Description Coordinates and monitors patients through the hospitalization process utilizing physicians, primary care nurses, and third party payors to maintain quality care and fiscal responsibility. Assists the admitting department in identifying and resolving problems regarding appropriate admissions. Acts as a resource/advisor to physicians for adequate medical record documentation, appropriateness of facility services as they relate to diagnoses, and options for post-discharge care. Reviews the post hospital care plan with the patient/family. Establishes a contract regarding time frames and responsibilities. Follows plan through to discharge. Utilizes community services to provide optimal discharge planning, monitors/expedites timely completion of services to avoid delays in care or discharge, facilitates third party reimbursement approval and/or authorization, conducts post discharge activities and documentation, and is responsible for completion and interpretation of patient statistical reporting. Coordinates with multi-disciplines to include Dietary, Physical Therapy, Occupational Therapy, Speech, Social Services, Infection Control, etc., to ensure efficient use of hospital resources. Answers questions from patients, families, and providers regarding reimbursement of covered and non-covered services. Qualifications Primary Source On-line Verification‑Required (verify license online and upload) 2 years of recent experience in an acute care facility‑Required Ability to evaluate the medical records of hospital admissions—required All your information will be kept confidential according to EEO guidelines. #J-18808-Ljbffr Healthcare Support Staffing