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Rn Case Manager
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- Leads and participates with the interdisciplinary team in daily rounds, planning delivery and evaluation of patient-focused care for prioritized patients.
- Documents the case management plan to include: clinical needs, barriers to quality care, effective utilization of resources and pursues denials of payment and referrals in a timely, legible manner.
- Completes tighter integration with ambulatory care management team, especially with high risk, chronically ill patients.
- Collaborates with Utilization Management team on continued stay review.
- Identifies and facilitate post-acute resource needs: Home Care, Community based Referrals, Diagnostic testing, Outpatient Therapies (Pulmonary Rehab, Cardiac Rehab, Physical and/or Occupational Therapy), Palliative Care or Hospice.
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