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Job Requirements of Case Manager - Critical Need:
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Employment Type:
Contractor
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Location:
Arlington, VA (Onsite)
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Case Manager - Critical Need
Careers Integrated Resources Inc
Arlington, VA (Onsite)
Contractor
Description:
The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PPC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure continuum of patient care progressions for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.
Responsibilities:
-Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24 hours of admission.
-Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.
Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies and regulatory requirements.
-Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV Infusion, SNF Sub-Acute and Acute Rehab.
Requirements:
Associate Nursing Degree
1 year in an acute medical/surgical/ ED or critical care nursing area
Experience using an electronic medical record system
Knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)
Completion of PCC Assessment of Critical Skills
Start Time 08:30 to End Time 17:00
The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PPC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure continuum of patient care progressions for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.
Responsibilities:
-Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24 hours of admission.
-Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.
Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies and regulatory requirements.
-Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV Infusion, SNF Sub-Acute and Acute Rehab.
Requirements:
Associate Nursing Degree
1 year in an acute medical/surgical/ ED or critical care nursing area
Experience using an electronic medical record system
Knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)
Completion of PCC Assessment of Critical Skills
Start Time 08:30 to End Time 17:00
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