Case Manager

Summary:

The Case Manager will have the capacity to conduct case certifications and reviews to present rationale for level of care LOS, interventions, discharge plans and the ability to deliver these functions for all payer sources. The Case Manager possesses excellent oral, written and computer skills and has a proven track record of functioning independently and demonstrated experience in conducting interviews and interventions with complex clients to obtain social and medical information necessary to determine, and drive, an appropriate discharge plan.

Duties Include:

• Screen patient's chart on admission, concurrently and/or retrospectively, using approved clinical guidelines in Utilization Management.

• Collaborates with the team members to ensure safe and timely care against clinical guidelines and best practices and ensures a safe and timely discharge.

• Participates and contributes in multi-disciplinary treatment team rounds in continually monitoring patient care assessments to ensure patient is moving towards desired outcomes.

• Assumes a pivotal role in the discharge planning process for all patients.

• Identifies potential discharge obstacles and brings them to the attention of the treatment team; offers possible solutions to discharge challenges.

• Confers with the treatment team members, if indicated to ensure the safe and timely care against clinical guidelines and best practices and ensures a safe and timely discharge.

• Completes PRI screens as indicated.

• Monitor the length of stay and resource consumption of patients

• Knowledge of regulatory agency standards Centers for Medicare & Medicaid Services, Office of Mental Health and Det Norske Veritas (DNV) standards

• Participates in continuing education.

• Performs other related duties as assigned.

We offer the Following:

• Premium Compensation
• Great Benefits Package
• Professional Growth & Stability
• Innovative Training Programs

We are an Equal Opportunity Employer –M/F/D/V