NewCase Manager - 6 TalentBurst, Inc.Case Manager - 6Doylestown, PA$60 / hourSeeking an experienced Registered Nurse (RN) Case Manager with recent acute care case management experience. Shift: 8-hour shifts (start time between 8:00 AM–9:00 AM, 8.5-hour workday).
Case Manager, Behavioral Health (Per Diem) St. Luke's Health Network, Inc.Case Manager, Behavioral Health (Per Diem)Allentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains appropriate, timely, and effective communication with patients, families, community agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management.
Case Manager, Acute Rehabilitation - Per Diem, Primarily Mon-Fri St. Luke's Health Network, Inc.Case Manager, Acute Rehabilitation - Per Diem, Primarily Mon-FriBethlehem, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. This includes assessing, planning, implementing, coordinating, and evaluating health and community related services to meet a patient’s physical, psychosocial, vocational, and health needs in a cost effective, outcomes-oriented, and timely manner.
Case Manager per diem for ARC St. Luke's Health Network, Inc.Case Manager per diem for ARCSellersville, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. This includes assessing, planning, implementing, coordinating, and evaluating health and community related services to meet a patient’s physical, psychosocial, vocational, and health needs in a cost effective, outcomes-oriented, and timely manner.
NewTravel Nurse RN - Case Manager - $2,013 per week in Doylestown, PA TravelNurseSourceTravel Nurse RN - Case Manager - $2,013 per week in Doylestown, PADoylestown, PA$2,013.19Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.
NewTravel Nurse RN - Case Manager - $2,221 to $2,374 per week in Doylestown, PA TravelNurseSourceTravel Nurse RN - Case Manager - $2,221 to $2,374 per week in Doylestown, PADoylestown, PA$2,220.98–$2,374Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Doylestown, PA. TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Doylestown, Pennsylvania, 18901!
NewTravel Nurse RN - Case Manager - $2,173 to $2,373 per week in Doylestown, PA TravelNurseSourceTravel Nurse RN - Case Manager - $2,173 to $2,373 per week in Doylestown, PADoylestown, PA$2,173–$2,373Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. TravelNurseSource is working with Ventura MedStaff to find a qualified Case Manager RN in Doylestown, Pennsylvania, 18901!
NewTravel Nurse RN - Case Manager - $2,036 to $2,257 per week in Doylestown, PA TravelNurseSourceTravel Nurse RN - Case Manager - $2,036 to $2,257 per week in Doylestown, PADoylestown, PA$2,036–$2,257TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Doylestown, Pennsylvania, 18901! Demonstrated ability to maintain high level of professionalism during stressful times.
NewTravel Nurse RN - Case Manager - $2,572 per week in Doylestown, PA TravelNurseSourceTravel Nurse RN - Case Manager - $2,572 per week in Doylestown, PADoylestown, PA$2,571.60TravelNurseSource is working with Prime Staffing to find a qualified Case Manager RN in Doylestown, Pennsylvania, 18901!
NewTravel Nurse RN - Case Manager - $2,413 per week in Doylestown, PA TravelNurseSourceTravel Nurse RN - Case Manager - $2,413 per week in Doylestown, PADoylestown, PA$2,413Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
Denials Management Assistant, Part Time St. Luke's Health Network, Inc.Denials Management Assistant, Part TimeAllentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Denials Management Assistant provides administrative and clerical support for the denials and appeals team by preparing, organizing, and submitting all levels of appeal documentation to payers within required timeframes.
PA or NJ Licensed Social Work Manager, Per Diem - Star Community Health St. Luke's Health Network, Inc.PA or NJ Licensed Social Work Manager, Per Diem - Star Community HealthBethlehem, PAPart timeProactively collaborates with patient/caregiver, care team members, and community partners as necessary to address bio-psychosocial needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations. The Outpatient Care Manager, Social Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as directed by the policies and procedures of the entity and Outpatient Care Management Department.
Inpatient Social Worker (MSW) or Registered Nurse (RN) Care Manager, Full Time, Upper Bucks Campus St. Luke's Health Network, Inc.Inpatient Social Worker (MSW) or Registered Nurse (RN) Care Manager, Full Time, Upper Bucks CampusQuakertown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care.
Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Full Time, Anderson Campus St. Luke's Health Network, Inc.Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Full Time, Anderson CampusEaston, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Social Worker or Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care.
Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Full Time, Grandview Campus St. Luke's Health Network, Inc.Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Full Time, Grandview CampusSellersville, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care.
Inpatient Registered Nurse or Social Worker (MSW) Care Manager Opportunities, Full Time, Part Time, Per Diem at Multiple Campuses St. Luke's Health Network, Inc.Inpatient Registered Nurse or Social Worker (MSW) Care Manager Opportunities, Full Time, Part Time, Per Diem at Multiple CampusesEaston, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment and interventions for designated patient populations across the continuum of care.
Outpatient Registered Nurse (RN) Care Manager, Part Time St. Luke's Health Network, Inc.Outpatient Registered Nurse (RN) Care Manager, Part TimeAllentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Ensures accurate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system.
Occupational Therapist - Per Diem St. Luke's Health Network, Inc.Occupational Therapist - Per DiemStroudsburg, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Occupational Therapist shall provide rehabilitation services to patients/clients, upon physician consult or referral, who have sustained occupational impairments, limitations and disabilities, as a result of physical, cognitive or psycho-social dysfunction.
CHC Service Coordinator (Case Management, Geriatric - Lehigh Valley (Hybrid University of Pittsburgh Medical CenterCHC Service Coordinator (Case Management, Geriatric - Lehigh Valley (HybridPAAdditional Requirements: Must have a valid driver's license Reliable transportation A private workspace free from distractions Ability to meet strict, regulatory deadlines, and willingness to protect confidentiality in accordance with HIPAA guidelines Internet Speed Requirements: * Minimum speed is 20Mb/s download, 5Mb/s upload less than 50ms ping, and under 10ms jitter. Service coordination's purpose is for a collaborative process that assesses, plans, implements coordinates, monitors, and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes.
Case Management Supervisor MerakeyCase Management SupervisorPAThe Blended Case Management Supervisor role blends hands‑on leadership, collaboration, and a recovery‑focused approach to strengthen services, support staff growth, and positively influence outcomes for individuals and the community. The Blended Case Management Supervisor's responsibilities include but are not limited to: Staff Supervision & Development: Oversee BCM staff performance, personnel actions, training, on‑call coverage, and provide ongoing coaching, supervision, and recovery‑focused guidance.
Supports Coordinator - Case Manager Social Services - Allentown, PA Care LyncSupports Coordinator - Case Manager Social Services - Allentown, PAAllentown, PAFull timeCare Lync is a Social Services agency focused on providing Support Coordination (Service Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program. The Support Coordinator / Service Coordinator / Case Manager will assist the person(s) receiving services in identifying and communicating his/her requests and needs for services and supports, which may include housing, medical, social, vocational and other community services.
NewSocial Worker / Case Manager RHA Health ServicesSocial Worker / Case ManagerPipersville, PennsylvaniaRegular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services! Serve as the primary liaison to community hospitals, other social service agencies, mental health centers, intensive case-management units, etc., regarding any referral for admission and/or discharge planning and follow up contacts.
Blended Case Manager Chimes IncBlended Case ManagerEaston, PAA high school diploma and 12 semester credit hours in sociology, social welfare, psychology, gerontology, or other social science, and 2 years of experience in public or private human services with 2 years in direct client contact (1 year for Lehigh and Northampton counties). Job Description: The case manager will provide community-based services to individuals identified as eligible for behavioral health services, including assessing and monitoring resources that help the client live in the community in a stable and safe manner.
Blended Case Manager/Housing Specialist Community Action Lehigh ValleyBlended Case Manager/Housing SpecialistAllentown, PAFull timeA high school diploma or equivalent is required, and at least two years of experience in case management, social services, or a related field is preferred-but we also welcome applicants with equivalent experience and a strong passion for supporting families in crisis. Whether leading resident meetings, advocating for services, or planning enrichment activities, you'll play a vital role in creating a safe, supportive environment where families can regain stability and independence.
Family Advocacy Case Manager JusticeWorksFamily Advocacy Case ManagerAllentown, PennsylvaniaOur ESOP gives employees an ownership interest in the company and a path to long-term retirement growth (at no cost to the employee)—meaning when the company succeeds, our employees benefit directly. In this role, you will serve as a primary point of contact for families, assess needs, connect them with critical community resources, and provide ongoing advocacy and support.
Blended Case Manager RHA Health ServicesBlended Case ManagerBethlehem, PennsylvaniaBachelor’s degree in human services related field - sociology, social work, psychology, gerontology, anthropology, political science, history, criminal justice, theology, nursing, counseling or education OR Associates Degree with 12 College Credits relevant to position (Human Services, Psychology, Sociology) and two (2) years’ experiences in the mental health/human service field. Adherence to charting requirements- Prepares and completes all necessary documentation, including assessments, new consumer admissions, medication records, progress notes, incident reports, service, treatment and crisis plans and miscellaneous paperwork/reports within required timeframes as requested.
Young Adult Mental Health Case Manager (Bucks County) Access ServicesYoung Adult Mental Health Case Manager (Bucks County)Warminster, PAAbility to utilize engagement strategies to support youth and young adults with diverse mental health diagnoses, developmental needs, and varying abilities, including individuals with Level 1 and 2 Autism Spectrum Disorder. Engage youth using the TIP Model to build overall independence across five key domains: (Education; Employment & Career; Living Situation; Community Life Functioning; Personal Effectiveness & Wellbeing).
Blended Case Manager Holcomb Behavioral Health SystemBlended Case ManagerAllentown, PAFull timeA high school diploma and 12 semester credit hours in sociology, social welfare, psychology, gerontology, or other social science, and 2 years of experience in public or private human services with 2 years in direct client contact (1 year for Lehigh and Northampton counties). Clearances: Pennsylvania Child Abuse, Criminal and fingerprint-based federal criminal history; Verification that employee is not on any Medicaid/Medicare Exclusion listNote: At the discretion of the Personnel Officer, additional related experience and/or education may be substituted instead of the requirements specified under Education and ExperienceWhat's in it for you?
HIV Medical Case Manager (Easton Clinic) St. Luke's University Health NetworkHIV Medical Case Manager (Easton Clinic)Bethlehem, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Case management activities include but are not limited to intake and screening, assessment, preparation of service coordination plans, referrals for service and placement, monitoring to assure compliance with and effectiveness of plan, service advocacy, and outcome evaluations.
Case Manager Psychiatry - Per Diem SchuylkillCase Manager Psychiatry - Per DiemBethlehem, PennsylvaniaFinally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region.
Case Manager Resources for Human DevelopmentCase ManagerLansdale, Pennsylvania$20Position Overview: The Case Manager plays a critical role in supporting participants at Genny’s Place by coordinating services, connecting individuals to community resources, and helping them achieve their recovery and housing goals. About Resources for Human Development: Resources for Human Development is a national human services nonprofit with the broadest possible service mission, and specializes in creating innovative, quality services that support people of all abilities wherever the need exists.
Case Manager Tower Behavioral HealthCase ManagerReading, PennsylvaniaFull timeOverview: PURPOSE STATEMENT: Manage the client's/patient's/resident’s cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents. · Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements.
Hospice Registered Nurse Case Manager (RN) Suncrest HospiceHospice Registered Nurse Case Manager (RN)Lansdale, PennsylvaniaFull timeDetails: The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
Registered Nurse-RN CASE MANAGER - St. Mary Home Care Trinity HealthRegistered Nurse-RN CASE MANAGER - St. Mary Home CarePAA Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), palliative care, hospice and bereavement services. We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations.
Case Manager (3891-375) Youth Consultation Service IncCase Manager (3891-375)NJYouth Consultation Service (YCS) is a behavioral health and social services agency that has been caring for at risk children and families since 1918 in therapeutic residences, special education schools, in-home and in-community programs throughout NJ. Duties include (but not limited to): To assist youth and their families in identifying, accessing and receiving appropriate mental health and other services in a timely, efficient and effective manner.
Hospice RN Case Manager (Mon–Fri) Vitality HospiceHospice RN Case Manager (Mon–Fri)Bethlehem, PA$85,000–$100,000Vitality Hospice & Palliative Care is a clinician-owned and operated hospice seeking a Registered Nurse (RN) / Hospice RN Case Manager to join our growing team. The Hospice Registered Nurse Case Manager (RNCM) is responsible for coordinating and delivering skilled nursing care to hospice patients in their homes.
Blended Case Manager MerakeyBlended Case ManagerBethlehem, PACoordinate services with providers, participate in treatment team meetings and service plan meetings with families and providers, act as liaison with supports, and attend all required meetings and trainings. Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including: Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
Case Manager- Social Worker, Veterans Health Program Valley Health Partners Community Health CenterCase Manager- Social Worker, Veterans Health ProgramAllentown, PAProficient computer skills and ability to use the Electronic Health Record to maintain timely, accurate documentation and effective communication with clients, team members, and external partners. Ensures accurate and timely documentation of all client interactions in the Electronic Health Record for effective communication with clients, team members, and providers.
Case Manager- Social Worker, Veterans Health Program Valley Health PartnersCase Manager- Social Worker, Veterans Health ProgramAllentown, PennsylvaniaProficient computer skills and ability to use the Electronic Health Record to maintain timely, accurate documentation and effective communication with clients, team members, and external partners. Ensures accurate and timely documentation of all client interactions in the Electronic Health Record for effective communication with clients, team members, and providers.
Case Manager-Rn Penn MedicineCase Manager-RnDoylestown, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Responsibilities: Credentials: Education or Equivalent Experience: We believe that the best care for our patients starts with the best care for our employees.
Case Manager Acadia Healthcare Co IncCase ManagerReading, PAPURPOSE STATEMENT: Manage the client''s/patient''s/resident's cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents. Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements.
Hospice Registered Nurse Case Manager (RN) Suncrest Hospice LLCHospice Registered Nurse Case Manager (RN)Lansdale, PAThe Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
Equal Opportunity/Title IX Case Manager Lehigh UniversityEqual Opportunity/Title IX Case ManagerBethlehem, PA$56,030–$68,190 / yearCollects and prepares data for legal compliance, annual reports, and training presentations, while collaborating with key campus partners (such as General Counsel, HR, Student Affairs, and Police) to assess and improve response protocols. Provides full logistical support for investigations, including scheduling interviews and organizing evidence, and delivers timely status updates to complainants, respondents, University officials, and relevant external parties throughout the resolution process.
Intensive Case Manager (ICM) SevitaIntensive Case Manager (ICM)Bethlehem, PABachelor’s degree in the Human Services field with major course work in: sociology, social work, psychology gerontology, anthropology, political science, history, criminal justice, theology, nursing, counseling or education. Mentor Behavioral Health, a part of the Sevita family, provides Early Intervention, Applied Behavioral Analysis (ABA) and Behavioral Health services to children, individuals and families.
Case Manager, Acute Rehabilitation - Per Diem, Primarily Mon-Fri St. Luke's University Health NetworkCase Manager, Acute Rehabilitation - Per Diem, Primarily Mon-FriSellersville, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. This includes assessing, planning, implementing, coordinating, and evaluating health and community related services to meet a patient's physical, psychosocial, vocational, and health needs in a cost effective, outcomes-oriented, and timely manner.
Case Manager per diem for ARC St. Luke's University Health NetworkCase Manager per diem for ARCSellersville, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. This includes assessing, planning, implementing, coordinating, and evaluating health and community related services to meet a patient's physical, psychosocial, vocational, and health needs in a cost effective, outcomes-oriented, and timely manner.
Case Aide The Salvation Army USACase AideAllentown, PAEmployer funded Pension Plan (company contributions begin after 1 year of employment) • Comprehensive health care coverage with low cost employee premiums, co-pays and deductibles • Eligibility for supplemental insurance plans including Short Term Disability, AFLAC and Voluntary Term Life • Flexible Spending Accounts • Remitted Tuition Program • Eligibility for the Federal Government's Public Student Loan Forgiveness Program • Most importantly - a job with a good purpose! Overview: The Case Aide is responsible for providing casework services to our guests to aid them in securing and maintaining housing, developing budget skills, utilizing community resources and providing support and encouragement as they work toward achieving their goals.
Case Aide The Salvation Army Eastern TerritoryCase AideAllentown, PennsylvaniaPart timeOverview: The Case Aide is responsible for providing casework services to our guests to aid them in securing and maintaining housing, developing budget skills, utilizing community resources and providing support and encouragement as they work toward achieving their goals. Assist Case Managers in working with residents on their Housing Stabilization Plans, promote activities to increase competence with activities of daily living, parenting skills and independent living skills.
Care Manager/ Case Manager Good Shepherd RehabilitationCare Manager/ Case ManagerPACoordinates UTILIZATION MANAGEMENT ProcessES By reviewing clinical information based upon admission and continued stay criteria Performing concurrent medical reviews to communicate to payers Initiating physician advisor reviews for cases not meeting established criteria for admission and/or continued stay to facilitate appropriate utilization of services Communicating denials from third party payers to the physician and coordinating a timely appeals process Updating demographic information, Obtaining signatures on admission paperwork and/or advance directives forms (where applicable) DEMONSTRATES A PROFESSIONAL DEMEANOR AND MAINTAINS PROFESSIONAL KNOWLEDGE By being flexible, responding positively to unexpected changes in the work load and work hours Performing other duties as directed Keeping abreast of regulations and policies related to utilization management and discharge planning, departmental staff meeting information. OBTAINS SERVICES AND RESOURCES FOR PATIENT By ascertaining appropriateness and referring to community resources Establishing rapport with agencies and support groups Arranging appointments REPRESENTS RIGHTS AND NEEDS OF PATIENTS By educating and informing patients about their rights Advocating on their behalf with community resources, insurers, treatment team COORDINATES TREATMENT AND DISCHARGE PLAN By leading interdisciplinary team meetings Bridging communication between team members, ancillary departments, insurers and significant others.