What are the responsibilities and job description for the Care Manager - Care Coordination position at Mary Rutan Health?
Job Summary -
The Care Manager will be primarily responsible for direct clinically oriented patient care activities offered by this department. Work includes completing assessments of patients, direct interventions with patients and families, as well as other services outlined in the department's Policy and Procedure Manual. This person will be responsible for discharge planning activities, including referral to community agencies. The Care Manager is also responsible for review of admissions and continued stays for medical necessity and will communicate with insurers for certification purposes. Hours of work may vary to assure appropriate coverage as determined by the Department Director and/or Hospital Administration. This person must have thorough and complete understanding of the Policies and Procedures of the Care Coordination Department. This position includes working with adolescents, children, and adults.
Regulatory Requirements
- Minimum qualifications for this position include either being a graduate from an accredited school of Registered Nursing or having a Bachelors Degree in Social Work.
- Must have an Ohio license in Nursing or Social Work.
- Is a motivated, independent individual who can organize work load so that all functions are completed appropriately.
- Working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage.
- Experience in providing patient care.
Language Skills
- Ability to communicate in English, both verbally and in writing.
- Additional languages preferred.
- Excellent interpersonal skills.
Skills
- Excellent computer knowledge.
- Ability to operate office equipment.
- Ability to type 60 words per minute.
