What are the responsibilities and job description for the Case Manager (LVN) position at River Valley Healthcare & Wellness Center?
Case Manager Principal Responsibilities: CLINICAL
- Case Manager coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication.
- Conducts pre-admission on-site assessments to ensure clinically appropriate admissions in accordance with Federal, State and Company requirements.
- Ensures continuity of care appropriate to meet patient, payor and Company requirements.
- Supports the overall goals of the Company and the Center.
- Determines resource utilization specific to patient care needs, outcome expectations, payor and Company requirements.
- Participates in negotiating coverage as assigned.
- Ensures exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.
- Attends all Center or Company required inservices and meetings.
- Ensures all documentation necessary for quality case management is maintained according to Federal, State and Company requirements.
- Current licensure in State in which practicing.
- Strong administrative and organizational skills.
- Minimum 2 years experience in case management.
- Bachelors degree in health care field preferred.
- Presents professional image to consumers through dress, behavior and speech.
- Adheres to Company standards for resolving consumer concerns.
- Ensures that all patient/resident rights are protected.
