Case Manager Principal Responsibilities: CLINICAL
Case Manager coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication.
Conducts pre-admission on-site assessments to ensure clinically appropriate admissions in accordance with Federal, State and Company requirements.
Ensures continuity of care appropriate to meet patient, payor and Company requirements.
Case Manager ADMINISTRATIVE
Supports the overall goals of the Company and the Center.
Determines resource utilization specific to patient care needs, outcome expectations, payor and Company requirements.
Participates in negotiating coverage as assigned.
Ensures exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.
Attends all Center or Company required inservices and meetings.
Ensures all documentation necessary for quality case management is maintained according to Federal, State and Company requirements.
Case Manager QUALIFICATIONS
Current licensure in State in which practicing.
Strong administrative and organizational skills.
Minimum 2 years experience in case management.
Bachelors degree in health care field preferred.
Case Manager CONSUMER SERVICE
Presents professional image to consumers through dress, behavior and speech.
Adheres to Company standards for resolving consumer concerns.
Ensures that all patient/resident rights are protected.