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Collaborates with all members of the multidisciplinary team to support the following functions; crisis intervention, counseling support and referrals, abuse and neglect reporting, adoption planning, guardianship, psychosocial assessments, observation management, capacity management, hospital throughput.
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As a Jefferson Health at Home by BAYADA PT you will:See a client through their care needs - from hospital discharge to living a safe home life with comfort, independence, and dignity. By bringing together the scope and reach of Jefferson Health - a top integrated health care system with a vast array of home health and hospice caregivers and volunteers- and the extensive management capabilities, operating platform, and clinical experience of BAYADA - a leading not-for-profit home health care provider, Jefferson Health at Home by BAYADA will strengthen and extend the continuum of care in the region.
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The role integrates and coordinates utilization management, care coordination and discharge planning functions. Hackensack Meridian Pascack Valley Medical Center is a 128-bed, full-service, acute-care community hospital with a new emergency department, a state-of-the-art maternity center, a women's imaging center, and an ICU.
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Managed care, home care, discharge planning or case management experience is strongly recommended. Case Management Society of America Certification CCM preferred. Reviews medical records for appropriateness of admissions, continued stay and level of care changes against criteria of severity of illness and illness of service to ensure optimal reimbursement to the hospital.
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Responsible for the coordination and implementation of systems and services leading towards an organized, multidisciplinary team approach to patient care management. Develops and coordinates efforts to reduce clinical resource utilization by working closely with physicians, nursing staff and other hospital personnel.
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Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
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The Registered Nurse will provide case management/utilization review as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical care, to ensure hospital reimbursement, to provide cost effective acute care and to ensure continuity of care.
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Assigns MS-DRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
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The case planner in the Mother/Child Residence is responsible for providing case planning/case management & social work services to pregnant and parenting adolescents who are residing in the maternity and mother/child residential programs, as well as providing after-care services to the parenting youth on trial discharge from current caseload.
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We are seeking a skilled and compassionate healthcare/childcare provider to conduct newborn hearing screen tests, communicate results with parents and clinicians, educate on post-discharge follow-up as needed, and assist with database management.
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Assuring payments of hospital-based services meeting patient-related utilization management criteria. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer/Referral Management.
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The Hospital Liaison will work with the RNCM, case management and care givers to identify barriers in safe discharge and assist in obtaining resources as needed. This position will be focused on high needs chronic kidney disease (CKD) and End-Stage Kidney Disease (ESKD) populations frequently admitted to the hospital and that face multiple challenges, from accessing resources to adhering to a physician's treatment plan upon discharge.
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Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
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2 years Case Management / Utilization Review in a hospital, post-acute or insurance/third party payer setting. Working knowledge of CMS guidelines and regulations governing discharge planning and utilization management.
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