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The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
$45ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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We are proud to be revolutionizing health care with visionary leadership and world-class resources The role you’ll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care.
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GENERAL FUNCTIONS: The Medical Care Manager (MCM) is a member of the interdisciplinary team providing pre- and post-transition medical care management and clinical services to persons with mental or physical illness who are part of the Williams or Colbert Class Membership.
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Establish relationships and ensure patient/family are informed of patient condition, plan of care and discharge plan, all discharge instructions, medication reconciliation; rationale of Utilization Management determinations and any financial information associated with such, potential for LTC transition (if applicable) and importance of timely PCP follow-up following discharge.
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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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Works together with the patient and family, care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting in accordance with all applicable laws, regulations, and Life Care standards.
$43 - $50 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Shriners Childrens , the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center, has an opportunity for a RN Care Manager to join our team.
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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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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 uses sound clinical judgment, working collaboratively with the interdisciplinary team, patient, family, and significant support personnel to achieve optimal clinical outcomes through effective utilization of resources and discharge planning for all hospital admissions.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Responsible for efficient and effective utilization management in accordance with client needs, physician orders and payer requirements. We are putting a dent in the homecare universe through our commitment to providing affordable, personalized, patient and family centered medical home healthcare, home hospice, private duty homecare and independent living support services delivered in a concierge style, on-demand to create an exceptional patient experience.
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The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning.
$32.23 - $46.33 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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1 year of Utilization Review experience required About the Job: Working closely with the collaborative care team, the case manager assesses plans, intervenes, and reassesses an individual's needs to implement a plan of care to meet the needs of that individual The case manager assesses patient and family for clinical appropriateness for the setting and establishes plans for effective allocation of resources and management of the continuum of care.
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Serves as an active member of the Outcome Facilitation Team/Patient Care Multidisciplinary Team and works closely with medical staff, hospital departments and ancillary services in identification and resolution of barriers to discharge, expediting care delivery to avoid delays in timely service provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities.
Full-timeExpandApply NowActive JobUpdated 28 days ago
family care team utilization management jobs Title: rn manager in Raleigh, West Virginia
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