Job Description

Assesses the needs of individual patients within an assigned case load for care coordination, discharge planning, and utilization management services Facilitates early referral to high risk case management, physical therapy, occupational therapy, social work, risk management, patient advocacy, post-acute services, and quality management. Refers clinical issues and lapses in standards of care to appropriate parties.

Creates case management care plans for assigned patients. Comprehensively assesses patients’ requirements for services. Extensively assesses patients’ organizational, and payer needs with regard to meeting clinical and financial goals, and patient/provider satisfaction.

Facilitates multi-disciplinary collaboration. Collaborates with colleague case managers in providing coordination of care. Works with a multi-disciplinary team to develop a treatment plan, including contingency plans. Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus, and evaluating outcomes of treatment options.

Implements strategies for case management care plans.