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Oversee smooth Transitional Care Management for all patients discharged from in patient facility (hospital, skilled nursing/rehab, behavioral health) ensuring: Primary Care Provider visit, DME and Home Health Services, Specialist appointments, and community resources/social services are provided as indicated.
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Case Manager (RN) - Utilization Management - Weekend Incentive Program (WIP) Works collaboratively with the Utilization Management team, Denial Manager, Physician Advisor, Physician staff, Nursing staff, Case Management, Finance, Clerical Support staff and payer liaisons.
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The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff.
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Ideal candidates will have 3+ years of relevant care management experience in the health plan, home health and or hospice. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our Family Members' race, culture, and environment is critical to delivering improved health outcomes.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Description: Job Title: Home Care RN Case Manager Position Type: Exempt Reports to: Clinical Practice Manager GENERAL SUMMARY Provides, coordinates, and directs the provision of home health nursing services and case management processes according to the assigned patient's individualized plan of care based on agency policies and procedures, through the competent application of nursing process.
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Highly detailed charting on member's reported needs, medical and behavioral health history, current management of their health concerns and social determinacies of health needs and medication reconciliation.
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Bachelors Degree in Nursing, Health Care or Masters degree in Case Management. Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.
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TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Roswell, Georgia, 30076! You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review.
$2,031 a weekFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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This includes extended case management for newly arrived refugee clients with services like home, health, and crisis management. The Case Manager prioritizes providing individualized health education and assisting refugee & immigrant clients in accessing health care.
$45,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program. Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families.
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We believe in helping those with work-sustained illnesses and injuries to live their best life by providing care, health management, and support through our highly skilled team of home-based Medical Case Managers (MCM.
$80,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Case management services include monitoring patient care to ensure progress toward desired outcome, addressing patient and family needs. Completes documentation timely, accurately, and at the point of care, according to regulatory requirements, SOC/Admissions, Re-certifications, medication management, nurse visits, physician orders, care coordination etc.
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Documentation reflects Home Health Aide supervisory visits done a minimum of every 14 days. Hospice case management experience preferred. Management & SupervisionResponsible for overseeing and managing other disciplines involved in the care of patient e.g. certified aids and LPNs. Responsible for liaising with all Skilled Nursing Facilities and Assisted Living Facilities ensuring that all required information, care-plan updates and reports are in the patient's chart at the facilities.
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Also, they will be responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
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Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
$116,800 a yearFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago
home health case management jobs Title: manager in Atlanta, DE, Canada
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