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4 Must have recent acute care case manager hospital experience. Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred.
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The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
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Must have recent acute care case manager hospital experience. Current and valid license to practice as a Registered Nurse in the state of Texas OR A current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred.
$95,000 - $105,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Coordinates clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) supported by evidence-based practice, internal and external requirements.
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Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post-acute care.
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Communicate directly with patients to determine post discharge preferences, discharge needs and work with the hospital or post-acute care management staff to ensure appropriate plans are in place.
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Licenses/Certifications: -Current and valid license to practice as a Registered Nurse in the state of Texas or -Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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Licensed Practice Nurse or Certified Medical Assistant or trained Patient Care Assistant with 2-3 years acute care and/or ambulatory practice experience. Understand and apply principles of population health management to identify patients with uncontrolled chronic conditions and/or rising risk indicators and refer to Community Care Manager accordingly.
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The RN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
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Serve as a part of the Primary Care Manager (PCM) team within the Patient Centered Medical Home (PCMH) model of health care delivery, will provide nursing assistance in the full spectrum management of professional and patient care activities within their scope of practice.
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At least one year of independent, full-scope adult primary care practice (Internal Medicine or Family Practice) including acute and chronic disease management. Our team of eight Nurse Practitioners and eight physicians provides a unique blend of urgent care including infectious disease management and substance withdrawal, as well as full-scope primary care including chronic disease management, health promotion and disease prevention.
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The Manager of Post-Acute Care provides leadership and operational oversite for care provided to the member within a focused area of the Continuum of Care. Areas of responsibilities programs responsibilities include skilled nursing, home health, hospice referrals, acute rehabilitation and LTACH any may include others as needed.
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Description: Job Summary:The Manager of Post-Acute Care provides leadership and operational oversite for care provided to the member within a focused area of the Continuum of Care. Areas of responsibilities programs responsibilities include skilled nursing, home health, hospice referrals, acute rehabilitation and LTACH any may include others as needed.
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Acute Transition Care Manager, Registered Nurse (ATCM, RN) reports to the Acute Transition Care Management, Registered Nurse Manager (ATCM, RN Manager) and is responsible for providing proactive intervention and coordination of care to Vaya Health members and recipients ("members") who are receiving care in an inpatient community hospital or emergency department for physical health reasons to ensure that these individuals receive appropriate transitional care and services.
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