Case Manager

Freedom MagnoliaMagnolia, MS

About The Position

The Case Manager, in accordance with the Joint Commission, federal, and state regulations, Freedoms' mission, policies and procedures and PI standards, is responsible for coordinating with the admission staff and clinical staff to facilitate the meeting of patient's treatment needs. The Case Manger assumes responsibility for management of the discharge plan and utilization review activities for the patients stay throughout the program. The Case Manager contacts referral sources and family members in order to gather clinical information for the multidisciplinary team and reports to the treatment team. The Case Manger interacts with members of the medical/clinical team to provide a flow of communication. The Case Manger accurately documents in the medical record the findings and data that supports level and intensity of service rendered. The Case Manger functions as a member of the multidisciplinary team and assist in facilitating the the treatment team process. The Case manager is the primary source for payor source contact and liasons with the medical and clinical staff in order to communicate admission and continued stay criteria to referral sources, families, and payor sources as needed. Communicates with patients, families, and referral sources to ensure the positive treatment outcomes. In addition, maintains performance improvement activities within the department and participates QM activities. The Case Manager adheres to the highest ethical standards regarding patient care and rights. The Case Manager facilitates communication to outside agencies to ensure that these patient rights, care, and needs are met.

Requirements

  • Some college education
  • 1+ years coordinating utilization review and discharge planning activities

Nice To Haves

  • Psychology major preferred
  • Nursing education preferred

Responsibilities

  • Coordinating with admission and clinical staff to facilitate patient treatment needs.
  • Managing the discharge plan and utilization review activities.
  • Contacting referral sources and family members to gather clinical information for the multidisciplinary team.
  • Interacting with the medical/clinical team to ensure a flow of communication.
  • Documenting findings and data in the medical record that supports the level and intensity of service rendered.
  • Functioning as a member of the multidisciplinary team and assisting in the treatment team process.
  • Serving as the primary contact for payor sources and liaising with medical and clinical staff.
  • Communicating admission and continued stay criteria to referral sources, families, and payor sources.
  • Communicating with patients, families, and referral sources to ensure positive treatment outcomes.
  • Maintaining performance improvement activities within the department and participating in QM activities.
  • Adhering to the highest ethical standards regarding patient care and rights.
  • Facilitating communication with outside agencies to ensure patient rights, care, and needs are met.
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