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Responsible for providing comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure patient management that efficiently and effectively aligns with patient needs using resources to meet quality, clinical and cost effective outcomes.
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Assess, coordinate and facilitate patient's discharge plan to assure post-acute needs are arranged and secured prior to discharge; Communicate discharge plan with Physician, patient/family, and other members of the healthcare team as appropriate; Reassess discharge plan routinely throughout patient's stay to ensure timely, safe discharge and appropriate transition to the next level of care.
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The Case Manager will work within an interdisciplinary team and collaborate with physicians, family members, nurses, and other hospital team members throughout the patient's continuum of care.
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An outcome-based plan of care is created and continually adjusted through utilization of the nursing process, relationship centered care principles and holistic philosophy assuring the changing needs of the patient/family are met while facilitating a symptom-free, peaceful, sacred death.
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About the unit Corewell Health Hospice specializes in providing end of life care and symptom management to individuals with a life expectancy of six month or less, serving individuals in their home, nursing facilities, and in the hospital.
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The Case Manager (CM) / Utilization Review (UR) nurse staff augmentation full time role will temporarily fill in for Optum care management teams for short term staffing as well as provide consultative support to the front-line care management team, as appropriate.
$88,000 - $173,200 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and process, resource allocation, team management and communication skills.
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Preferred Qualifications: 2+ years of Case Management or Chronic Care Management 1+ years of utilization management experience Spanish-speaking preferred in some markets DaVita IKC (Integrated Kidney Care) is comprised of an innovative team who is committed to improving patient outcomes and improving quality of life.
Full-timeRemoteExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Support and collaborate with management, medical management, and health services team members in implementing and managing Utilization Management, Case Management, Disease Management, Population Health, Care Coordination, and Care Transition activities in Transition Care Services.
$35.5 - $57.28 an hourExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Under the supervision of the Manager, the Case Manager – RN or LMSW has knowledge and skill in the areas of discharge planning, transitions of care, utilization management (UM), medical necessity, and patient status determination.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Preferred Qualifications: 2+ years of Case Management or Chronic Care Management 1+ years of utilization management experience Spanish-speaking preferred DaVita IKC (Integrated Kidney Care) is comprised of an innovative team who is committed to improving patient outcomes and improving quality of life.
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The Nurse Case Manager will provide continuity of care for members to an appropriate lower level of care in collaboration with the hospitals/physician team, acute or skilled facility staff, ambulatory care team, and the member and/or family/caregiver.
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The case manager is held accountable to ensure that discharge planning is appropriate, timely and communicated to the patient, family and health care team. The case manager will perform utilization review in accordance with InterQual criteria, which will assure appropriate use of health care resources.
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The RN Case Manager is responsible for admission and concurrent review of patients for Severity of Illness and Intensity of Service, appropriate level of care and discharge planning as outlined in the Utilization Management Plan. The Case Manager reviews concurrently and must facilitate and encourage the optimal use of the Health Centers resources through interventions with both medical staff and the healthcare team as needed to facilitate timely discharge.
Full-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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The Nurse Case Manager will coordinate, or provide appropriate levels of care under the direct supervision of an RN Manager or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating.
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family care team utilization management jobs Title: rn case manager in Raleigh, West Virginia
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