Disease Management Case Manager coordinates the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge. Acts as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively. Being a Disease Management Case Manager responsibilities include but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. Requires an associate's degree/bachelor's degree, and is licensed to practice nursing. Additionally, Disease Management Case Manager typically reports to a supervisor or manager. Disease Management 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)
JOB SUMMARY:
Under the supervision of the Lead Case Manager, or Director of Quality, this role completes various duties to enhance the efficiency of the Case Management Department, as well as support the daily functions of the case managers. This role assists in securing arrangements for the discharge transition and post-acute services. While monitoring the revenue cycle process related to insurance certifications, insurance verification, peer-to-peer completion, and denial/appeal tracking, this position serves as a liaison between the Case Management Department, payers, and additional entities.
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0 Disease Management Case Manager jobs found in Tulsa, OK area