Case Manager PRN- Weekdays
Company: Kindred Hospital Albuquerque
Location: Albuquerque
Posted on: May 27, 2023
Job Description:
Description
At Kindred It Starts With Me. Our commitment is to deliver
excellence and an empathetic human experience to every patient,
every family member, every employee, every time. We do this through
our Core Values which help in guiding our work every day.Job
Summary: The Case Manager I PRN coordinates and facilitates the
care of the patient population through effective collaboration and
communication with the Interdisciplinary Care Transitions (ICT)
team members. Follows patients throughout the continuum of care and
ensures optimum utilization of resources, service delivery and
compliance with external review agencies. Provides ongoing support
and expertise through comprehensive assessment, care planning, plan
implementation and overall evaluation of individual patient needs.
Enhances the quality of patient management and satisfaction, to
promote continuity of care and cost effectiveness through the
integration of functions of case management, utilization review and
management, and discharge planning.Essential Functions: Care
Coordination
Assist in coordinating clinical
and/or psycho-social activities with the Interdisciplinary Team and
Physicians. Assists with effective care coordination and efficient
care facilitation. Remains current from a knowledge base
perspective regarding reimbursement modalities, community
resources, case management, psychosocial and legal issues that
affect patients and providers of care. Appropriately refers high
risk patients who would benefit from additional support. - Serves
as a patient advocate. - Knowledgable of the principles of growth
and development over the life span and the skills necessary to
provide age appropriate care to the patient population
served.Participates in interdisciplinary patient care rounds and/or
conferences. Collaborates with clinical staff in the execution of
the plan of care, and achievement of goals. Discharge Planning
Under appropriate supervision,
conducts comprehensive, ongoing assessment of patients and family
to provide timely and safe discharge planning. Assists with
comprehensive discharge planning. Utilizes critical thinking to
execute effective discharge planning. Utilization Management
Conducts medical necessity review for
appropriate utilization of services from admission through
discharge. Promotes effective and efficient utilization of clinical
resources.Conducts timely and accurate clinical reviews, care
collaboration and coordination of continued stay authorization with
payor.Qualifications
Education: Graduate of an accredited program required:
LPN or RN Master of Social Work with
licensure as required by state regulations; OR - - - - - - - - - -
- -
Bachelor of Social Work with
licensure as required by state regulationsLicenses/Certification:
Healthcare professional licensure
required as Registered Nurse, LPN or Licensed Clinical Social
Worker (LCSW) or Licensed Social Worker (LSW) if required by state
regulations. Experience:
One year of experience in healthcare
setting.Experience in case management, utilization review, or
discharge planning a plus.Knowledge/Skills/Abilities/Expectations:
Knowledge of government and
non-government payor practices, regulations, standards and
reimbursement.Knowledge of Medicare benefits and insurance
processes and contracts.Knowledge of accreditation standards and
compliance requirements.
Keywords: Kindred Hospital Albuquerque, Albuquerque , Case Manager PRN- Weekdays, Executive , Albuquerque, New Mexico
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