Case Manager coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Being a Case Manager evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Additionally, Case Manager identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for conducting utilization reviews. Typically requires a bachelor's degree of Nursing. Typically reports to a head of a department/unit. Requires Registered Nurse (RN). Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
Iberia Medical Center
(IMC) in New Iberia, LA is looking for team members who will help advance our
vision to be the premier hospital of choice for patients, physicians and
employees. We've been caring for our community for over 60 years and offer many
diverse career paths. Our new employees experience opportunities to learn and
grow while caring for their families, friends and neighbors.
IMC is currently hiring a Case Manager , who is responsible
for the coordination of services through the continuum of care that balances
the delivery of quality patient care with the cost-effective utilization of
resources. Supports collaboration and
communication of patient/family and entire healthcare team regarding the
patients plan of care and continued needs post-discharge and facilitates those
services required.
EDUCATION
Graduate of an accredited school of Nursing.
TRAINING/EXPERIENCE
Case management experience preferred.
PRINCIPLE TASKS, DUTIES, AND RESPONSIBILITIES
Be available by telephone during working
hours Act as liason between patients,
physicians, and referral sources. Be knowledgeable of all assigned
patients. Conduct on-going clinical reviews to
ensure appropriate level of care and necessity of continued stay. Reports clinical reviews to third party
payer sources as required/requested. Post authorizations into computer as
needed. Make appropriate referrals as ordered
per MD. Ensures that the most effective and
level appropriate discharge plan is in place for all assigned patients to promote
safety in the post-acute setting. Actively involved in interdisciplinary
rounding meetings. Complies with all compliance
expectations. Knowledgeable of all CMS Mandated Forms.
COMPETITIVE BENEFITS
Great medical benefit plan
Participation in robust state
pension plan Dental, vision, life
insurance, disability and more
Employment Type:
FULL_TIME
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