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Case Manager RN

Company: Huntington Health and Rehabilitation Center
Location: Huntington
Posted on: July 6, 2019

Job Description:

Case Manager Description Summary

Coordinates and monitors the assessment, treatment planning process and follow up process for each resident / patient with the IDT, to ensure the provision of quality care in an efficient manner. Manages resources for ancillary and routine services from admission through discharge for each resident to meet established goals.

Essential Duties & Responsibilities

Coordinates the oversight of delivery of services based on level of care, intent of stay and prior level of function. May include facilitation of patient review meetings and / or chart reviews.
Coordinates Resident Assessment & Planning Tools.
Provides periodic assessment and summaries to insurers for continued authorization of care.
Communicates with external Case Managers for Managed Care & commercial customers.
Ensures documentation supports level of care, MDS & RUG.
Ensures appropriate rate negotiations from point of admission & during stay.
Completes required forms and documents in accordance with company policy and state and/or federal regulations.

Case Manager Requirements Qualifications

Graduate of an accredited School of Nursing.
Valid State licensure as an LPN, LVN, or RN.
*Note: Other incumbents (job code 7065) may have specific training or education in the healthcare field (other than as a licensed nurse) to ensure proficiency in the requirements of the position (i.e., Registered Therapist).

Physical Demands & Environment

Shift work may be required. Employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, feel, talk and hear. Employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. In compliance with applicable law, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. Ability to function as a team leader, and be flexible & adaptable to change. Must be self-motivated and have analytical skills, and operate various job-related equipment (computer & phone).

Keywords: Huntington Health and Rehabilitation Center, Huntington , Case Manager RN, Executive , Huntington, West Virginia

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