Flexable, professional, team work envir.
Case Manager RN (Current Employee) – 600 Grant St, Gary IN – February 22, 2017
Applies to individual case, through chart review, third payer regulations that govern admissions, continued stay, and discharge. i.e. IS/SI
Collect data related to clinical improvement initiatives for the purpose of developing action plans.
Conducts concurrent chart reviews to assure complete and accurate medical records documentation.
Coordinates the patient’s plan of care with all disciplines of the health care tem including the patient, caregiver and or family members and case management.
Demonstrates proficiency in patient assessment and documentation.
Interviews and assesses patients to determine potential barriers to timely discharge/transfer to another level of care.
Provides all payers with accurate, updated information. Obtains covered stay certification and prior authorization as appropriate.
Refers cases with appropriate to physician advisor for medical necessity, continued stay, physician education and appropriate level of care.
Responsible for discharge planning to the appropriate4 level of care, sub acute, hospital units, and outpatient services.