What are the responsibilities and job description for the CLINICAL CASE MANAGER position at Keystone Advisors LLC?
Keystone Advisors is looking for a Clinical Case Manager to support one of our healthcare clients in the Illinois Medical District in the West Loop of Chicago.
The Clinical Case Manager uses knowledge of disease processes, health care delivery and financing to support effective, efficient inpatient care while acknowledging patient / family preferences, treatment requirements and self-care capabilities to determine and appropriate discharge plan. These and all other activities are performed in compliance with all Cook County Health & Hospitals System (CCHHS) policies and procedures and in collaboration, as appropriate, with physicians, nurses, therapy department members, social workers, and insurance company representatives.
Job Duties include but are not limited to the following :
- Performs an admission review that includes inpatient vs. observation; a determination of whether the patient's condition meets medical necessity criteria for inpatient care or if significant discharge barriers exist.
- Documents authorizations and case notes according to departmental policy.
- Presents concise, comprehensive review of assigned patients during rounding.
- Interacts with physicians regarding medical necessity, identification of appropriate discharge, disposition, reasonable alternatives or information necessary to support discharge planning.
Minimum Qualifications :
Knowledge, Skills, Abilities and Other Characteristics :
Compensation Package :
