Case Manager
3 weeks ago
JOB SUMMARY
This position, by applying clinical expertise and knowledge of current utilization and discharge planning criteria, is responsible for ensuring that patients receive necessary services in the most appropriate care setting at CCAD.
PRIMARY DUTIES AND RESPONSIBILITIES
- Assesses patients’ needs relative to discharge planning and utilizes appropriate resources in a timely fashion.
- Serves as a liaison between the patient, physician and payer along the continuum of care
- Determines the level of care appropriate for patient upon discharge
- Ensures the completion of documentation related to discharge planning
- Partners with physicians and nurses to ensure a comprehensive and coordinated plan of care
- Works with physicians and nurses to correct utilization deficiencies and delays
- Provides patient care information as requested to contracted insurers and/or reimbursement entities within the guidelines of the confidentiality information policy
- Acts as an advocate on behalf of the patient to protect the patient’s health, safety and rights
- Determines the level of care upon request for admission utilizing evidence-based criteria
EXPERIENCE REQUIREMENTS
- Minimum of five (5) years experience post graduate is required
- Must have excellent communication skills and the ability to produce reports in a timely fashion
- International accreditation experience is preferred
- Evidence of progressive leadership experience is preferred
- Knowledge of pre and post acute venues of care
- Demonstrated ability to appropriately interact with physicians, nurses, patients and their families
- Excellent interpersonal skills
- Proficient in the use of PCs and spreadsheets
- Strong organizational and time management skills
- Strong oral and written communication skills
- Ability to speak and write in English is required
- Ability to speak and write in both English and Arabic is preferred
EDUCATION REQUIREMENTS
- Bachelor’s degree in general Nursing, or an equivalent qualification (minimum three (3) years duration) in general Nursing, is required
- Associate degree nurses from North America, with evidence of passing the national exam (USA: NCLEX – RN; Canada: Licensing Exam) is required
- BLS is required
- ACLS, PALS relevant to area of specialty is preferred
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