The Care Manager assesses, plans, implements, and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO, or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, nursing, patients, and significant others who have an ongoing caring relationship with the patient.
Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.
Requirements Graduate of an accredited school of nursing with up to six (6) months of Registered Nurse experience.
Current RN license within the state of practice.
Current American Heart Association Healthcare Provider BLS required. BSN or equivalent experience required.
Knowledgeable of criteria for Medicare, Medicaid, HMO, and private insurance coverage.
Maintains current knowledge of resources available within the community, and maintains supply of resource materials to be distributed to patients when and how obtain other resources as needed.
Gretchen Sheppard ~ US HealthCare Careers ~ gretchen@ushealthcarecareers.biz ~ 408-686-9450
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