What are the responsibilities and job description for the Clinical Case Manager Full Time Permanent position at Instant Serve LLC?
Job Description
Job Description
The Clinical Case Manager is responsible for planning, organizing, and coordinating swing bed admissions and reviewing emergency department admissions and discharges. Responsibilities include providing administrative and clerical services, input into process improvement, coordinating with the referral specialist and managing, obtaining, and sharing medical records. The Clinical Case Manager works under general supervision of the Director of Nursing.
Essential Functions
- Performs financial assessment to ascertain patients' source of payment for in-patient stay to begin review process and obtain timely payment for services rendered by hospital.
- Provides information in response to queries from doctors' offices, families and outside facilities.
- Provides case management, social services, utilization review, and discharge planning daily and on weekends as scheduled.
- Identifies and coordinates swing admissions and verifies admission requirements are met before transfer, including necessary screens and tests within the appropriate time frames.
- Reviews ED admissions / discharges and contacts ED patients to coordinate follow up visits with PCP or assist with coordinating transfers to another facility if needed.
- Develops and maintains relationships with specialty offices to aid in any transfer or collaboration of care.
- Participates and collaborates with interdisciplinary team and attends UR meetings.
- Reviews patient charts when a request for counseling is received.
- Reviews and assesses need for intervention and / or appropriate community resources.
- Must be available at least two Saturdays a month depending on admissions.
Knowledge, Skills, Abilities
Education / Experience
Thanks & Regards
Kevin - (228) 280-0017
Recruitment Analyst
Instant Serve LLC
175 Strafford Avenue, Suite one # 907, Wayne, PA 19087
