Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services.
Responsibilities • Accurately identifies through chart review of SI/IS for admit and continued stay. • Competently coordinates the overall discharges planning and social services function ensuring compliance with federal and state laws and Joint Commission of Accreditation of Hospital. • Successfully ensures patients receive recommended follow-up services. • Appropriately maintains a liaison with community agencies offering services to discharge patients. • Professionally maintains rapport with physicians, co-workers, representatives of other organizations, and departments.
Qualifications Associates degree in Nursing. Minimum of three years nursing experience required. Three years' experience in case management or utilization management preferred.