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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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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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RN Care Coordinators arrange and ensure all elements of the transition plan are implemented and communicated to key stakeholders including, but not limited to, the health care team, patient/family/ caregiver, and post-acute providers.
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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.
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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 - UpvoteDownvoteShare Job
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Major goals of the RN Case Manager include clinical quality enhancement, appropriate length of stay and resource utilization, continuity of care, quality documentation and customer satisfaction.
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RN - CASE MANAGER (Temple University Hospital 40HR Day Shift)In collaboration with the patientfamily, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner.
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Additional responsibilities include facilitation of interdisciplinary team collaboration, liaison between the patient, physician, payor, family/significant others in regards to care coordination and transitional care needs.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Communicates with the patient/family/caregiver and interdisciplinary patient care team to facilitate patient care, development of a comprehensive patient centered discharge plan and utilization review functions.
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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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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.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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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 19 days ago
family care team utilization jobs Title: rn case manager in Raleigh, West Virginia
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