Case Management Coordinator

Overview

PURPOSE STATEMENT :

Assess, plan, implement, coordinate, monitor and evaluate services to meet an individual's needs during treatment.

Responsibilities

ESSENTIAL FUNCTIONS :

• Assure residents meet criteria for admission, and review initial clinical information through discharge.
• Monitor and manage client / patient / resident's cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.
• Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.
• Manage client / patient / resident's cases with knowledge and expertise with the patient population of the facility.
• Convey medical criteria and clinical information between the client / patient / residents' insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.
• Conduct precertification with third party payers and negotiate approved days with the provider for the patient / resident admission.
• Assigned tasks for admission review, concurrent review and participate in discharge planning.

OTHER FUNCTIONS :

Qualifications

EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :

LICENSES / DESIGNATIONS / CERTIFICATIONS :

CPR and de-escalation / restraint certification required (training available upon hire and offered by facility).

First aid may be required based on state or facility.

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We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.