Job Description
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and implementation of a discharge plan for an assigned group of patients.
The Case Manager serves as a resource for other members of the healthcare team and provides education to team members on issues related to the continuum of care, reimbursement, regulatory agency guidelines and resource use.
Through collaboration, the Case Manager assures that the treatment plan is implemented accurately, in a cost effective and efficient manner in order to promote customer satisfaction and prevent delays in care and discharge.
Responsible for reviewing severity of illness and intensity of service indicators to assure that appropriateness of care criteria is met.
Documents reviews and discharge planning in the medical record and / or the computer system as appropriate; Collects and maintains data for tracking and reporting for outcome studies and performance improvement.
Requirements
Education : Registered Nurse
Experience : 3 years of clinical experience. 1-year minimum experience in case manager role preferred.
Licenses, Certifications and / or Registrations : Current license, etc. required by the profession. Case Management Certification preferred, but not required.
Equipment / Tools / Work Aids : ICD-9 code book, computer, and software (including Star, Microsoft Word, Excel, Access, and Outlook), fax, copier and other office equipment.
Specialized Skills : Computer skills, effective communication skills (verbal and written), time management and critical thinking skills.
Working knowledge of healthcare reimbursement, counseling, community resources, continuum of care and team building. Training in patient assessment home care planning and criteria review.
Physical Requirements : Ability to communicate verbally and in writing. Ability to assist in moving, lifting, pulling, pushing equipment with a minimum of 30 pounds.
Ability to push / pull (75-100 lbs.) medical record cart. Ability to meet attendance requirement of the job. Moderate amount of daily walking and standing.
Manual dexterity necessary for typing, writing and manipulation of a mouse; Routine bending, stooping, squatting and overhead use of arms.
Travel Registered Nurse - Case Manager - $1,731 to $1,920 per week in Tuscaloosa, AL
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
Registered Nurse Case Manager - Hospice
REGISTERED NURSE CASE MANAGER - HOSPICE. Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an o...
Bilingual - Case Manager (remote)
Bilingual - Case Manager (Remote). The Post Release Services (PRS), Case Manager is primarily responsible for Post Release Services (PRS) for Unaccompanied Children (UC) and families. Effectively maintain case capacity and trending of all caseloads;. Complete and document all required reports, case ...
Discharge Planner RN / Case Manager - full-time weekends
Job Description - Discharge Planner RN / Case Manager - full-time weekends (20-8136-RNCMFT-3422). Discharge Planner RN / Case Manager - full-time weekends -(20-8136-RNCMFT-3422). BSN preferred, Case Manager certification strongly preferred. Previous inpatient hospital case management experience incl...
Case Manager II
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Case Manager Career ...
Adult Case Manager, In-Home
Participate in staffing of all assigned cases at least twice weekly with other treatment team members. Identify eligible individuals for case management services. Knowledge of casework principles and methods related to counseling. ...
Registered Nurse Case Manager - Hospice
Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal care experience. ...
Case Manager - Adult, Evidence Based Supported Housing
Knowledge of casework principles and methods related to counseling. ...
Case Manager Long-term Care - Delaware
Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. Document all case management services and intervention in the electronic heal...
ER Case Manager-RN
Under the direction of the Director of Case Management, the ED Case Manager will coordinate cases and collaborate with the development and implementation of a discharge plan for an assigned group of ED patients. The ED Case Manager serves as a resource for other members of the ED healthcare team and...