Case Manager, Spaulding Cape Cod
About The Position
Serves as a core member of the care team, coordinating and supporting healthcare within the facility and arranging referrals for services outside the facility. Provides outreach and enrollment services to meet program and surrounding-county eligibility requirements. Coordinates care planning, including community and family support, and focuses on developing and coordinating community service plans. Partners with service providers, families, and patients to create healthcare plans and identify additional service providers. Modifies patient treatment plans in response to patients’ conditions and responses, and prepares patients and families for discharge. Communicates with third-party payers to obtain required service reimbursement authorizations, reviews challenging cases with medical directors as needed, and helps patients and families define care goals through education, information, and direction. Maintains accurate, detailed reports and records.
Responsibilities
- Coordinate and support healthcare within the facility and referrals to services outside the facility.
- Provide outreach and enrollment services to meet program and surrounding-county eligibility requirements.
- Coordinate care planning, including community and family support.
- Develop and coordinate community service plans.
- Partner with service providers, families, and patients to create healthcare plans and identify additional service providers.
- Modify patient treatment plans based on patients’ responses and conditions.
- Prepare patients and families for discharge.
- Communicate with third-party payers to obtain necessary authorization for reimbursement of services.
- Review challenging cases with medical directors as needed.
- Provide education, information, and direction to patients and families to define care goals.
- Maintain accurate, detailed reports and records.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
