Unknown Company

Case Manager - Critical Need

arlington, va • Posted 1 weeks ago
Onsite Full Time Community and Social Service Occupations

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
Additional Details

  • Additional Job Details : Will provide credentialing for Kaiser and Virginia Hospital as well.
  • Need NUID Only? : No
  • Role Type : Care Critical - PMG
  • Job Type : Nursing
  • Shift : 08:30 AM to 05:00 PM
  • Shift Notes : Start Time 08:30 to End Time 17:00- Every other weekend
  • Specialty : RN
  • Winter Plan Need : No
Qualification Assessment Must Have License & Certifications
Online cards not acceptable
***Expiration date on the card is the date that is to be honored. No grace period through end of the month if card has exact date of expiration noted***
*** MAUI Health System (MHS) *** - All specialities. AHA only Front and Back signed. No exceptions">BLS
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