Case Manager

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    "region": "KY",
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    "title": "Case Manager",
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    "datePosted": "2024-06-06T19:24:03.541Z",
    "description": "<h2>Overview</h2>\n<p>The Case Manager is accountable for coordinating the care and service of selected patient population across a continuum of care; ensuring and facilitating the achievement of optimal quality, clinical and cost outcomes; coordinating services and resources needed by the patient and family; and assuming a leadership role with the multidisciplinary team.</p>\n<p> </p>\n<h2>Responsibilities</h2>\n<p>Coordinates and collaborate with physicians, provider, multidisciplinary team and other health care professionals concerning patient’s goals, plan of care and progress.</p>\n<p> </p>\n<p> Develop, implement, interpret and maintain work standards and procedures that are in compliance with ARH’s policies and governmental regulations and various regulatory agency requirements.</p>\n<p> </p>\n<p> Maintain up-to-date knowledge in the field to allow recommendation of new services, products and equipment.</p>\n<p> </p>\n<p> Assesses, develop, implementation, and monitors comprehensive plan of care through an interagency multi-disciplinary team process in conjunction with the patient and family internal and external settings.</p>\n<p> </p>\n<p> Revise and adjust on a daily basis the plan of care to accommodate the needs of the individual patient based on continuing assessment of patient condition.</p>\n<p> </p>\n<p> Assumes responsibility and accountability for the care plan and effectiveness and patient outcomes.</p>\n<p> </p>\n<p> Assesses the appropriateness of the level of care; diagnostic testing and clinical procedures; quality and clinical risk issues; and documentation of medical record completeness.</p>\n<p> </p>\n<p> In accordance with hospital sanctioned ISDA criteria and/or other established criteria, reviews all patient admission data to determine the suitability of the level of care.</p>\n<p> </p>\n<p> Develop, implement, monitor and evaluate clinical pathways and clinical pathway variances.</p>\n<p> </p>\n<p> Monitor patients progression through clinical pathways.</p>\n<p> </p>\n<p> Communicates continually with patients, families, medical staff, caregiver and third-payors as necessary.</p>\n<p> </p>\n<p> Assist the patients and families with the educational process prior to admission, during hospital stay and after discharge, as indicated.</p>\n<p> </p>\n<p> Assures patients understand the third-party payer guidelines and to arrange discharge planning referrals as ordered by patients’ physicians.</p>\n<p> </p>\n<p> Develops and maintains a positive work climate and supports the overall team effort of the hospital.</p>\n<p> </p>\n<p> Assists in collecting and analyzing outcome data.</p>\n<p> </p>\n<p> Performs other duties as assigned or directed.</p>\n<h2>Qualifications</h2>\n<p>BSN preferred with 5 years experience in a hospital/community setting;</p>\n<p> </p>\n<p> or</p>\n<p> </p>\n<p> Must complete BSN or degree in other related field within 5 years;</p>\n<p> </p>\n<p> or</p>\n<p> </p>\n<p> RN with MSN or degree in other related field with 3 years experience;</p>\n<p> </p>\n<p> and</p>\n<p> </p>\n<p> Must meet all Licensure and Certification in state working;</p>\n<p> </p>\n<p> or</p>\n<p> </p>\n<p> Must obtain Certification of Case Management Society of America.</p>\n<p> </p>\n<p> Plus</p>\n<p> </p>\n<p> Excellent oral and written communication skills</p>\n<p> </p>\n<p> Must possess skill and proficiency in applying highly technical principles, concepts and techniques that are central to the nursing profession.</p>\n<p> </p>\n<p> Excellent organizational skills.</p>\n<p> </p>\n<p> Must have a valid driver’s license in state working</p>\n<p> </p>\n<p>CASE MANAGER</p>\n<p>Position Description</p>\n<p>March 30, 2005</p>\n<p>Page Three</p>\n<p> </p>\n<p> Must travel to patients’ residences, agencies, network providers as necessary.</p>\n<p> </p>\n<p> Required to be cross-trained in UR, QA, discharge planning, and infection control.</p>",
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          "postalCode": "41701",
          "addressRegion": "KY",
          "streetAddress": "100 Medical Center Drive",
          "addressCountry": "US",
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    "validThrough": "2027-06-06T19:24:03.541Z",
    "employmentType": "OTHER",
    "hiringOrganization": {
      "name": "Appalachian Regional Healthcare, Inc.",
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      "sameAs": "www.arh.org"
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    "occupationalCategory": "Nursing"
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