Description
Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination. The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients\' self-determination while coordinating in a timely and integrated fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.
Responsibilities
Coordinate care transitions and ensure timely progression of patients to appropriate levels of care.
Collaborate with physicians, utilization managers, medical social workers, and bedside RNs.
Communicate across the continuum to facilitate resource coordination and avoid unnecessary admissions or readmissions.
Address complex clinical and social situations in the Emergency Department when applicable.
Qualifications
2 years Case Manager experience
CA RN LICENSE
BLS
Every Other Weekend
Mandatory Skills
2 years Case Manager experience
Employment details
Seniority level: Mid-Senior level
Employment type: Contract
Job function: Health Care Provider
Industries: Hospitals and Health Care
Note: This description reflects the role content and does not include extraneous site or recruiter notes.