The Care Manager RN will utilize a collaborative process, the case manager will assess, plan, implement, coordinate, monitor, evaluate and advocate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost effective outcomes. The case manager helps identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source.
In this role, you would be responsible for:
Pre-Admission Counseling Contacts patients with upcoming hospital admissions and discusses expectations.
Assesses patient's condition to understand illness or injury and evaluate ability to follow treatment plan.
Advises patients of probable length of stay and helps anticipate and arrange for services at discharge.
Admission Care Works with physicians and hospitals to enforce treatment plans and orders. Ensures patient receives specialty care and tests as ordered.
Contacts medical team members to discuss patient's course of progress and needs.
Arranges for and coordinates health care team services, avoiding duplication and conserving benefit dollars.
Evaluates need for and authorizes equipment, supplies, and services.
Identifies problems and acts to anticipate and avoid complications.
Instructs patient and family in proper care and refers patient back to physician or other health care team members as needed.
Identifies plateaus, improvements, regressions and depressions, and counsels accordingly.
Confers with physician to clarify diagnosis, prognosis, therapies, daily living activities, and to share information.
Authorizes recommended modalities of treatment.
Investigates and suggests alternatives appropriately. Documents case summary in Transitional Care Plan and shares appropriately with beneficiaries and providers.
Facilitates beneficiary transfers among regions and collaborates with military liaison to minimize disruption care or services.
Post Discharge Follow-up Contacts patients within 48 hours of discharge to ensure sufficient support for full recovery.
Ensures proper receipt of equipment, home health and other services.
Assesses compliance with medications and follow-up appointments. Assists patient in coordinating transportation and other basic needs, and in navigating the health care system effectively.
Job Requirements:
Resides in Michigan and holds a Michigan Registered Nurse License.
3-5 years of hospital Medical/surgical experience
Associate Degree or nursing diploma required.
Triage, case management and/or rehabilitation experience preferred.
Requested criteria above average computer skills (Microsoft Office suite)
As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color, gender, age, sexual orientation, citizenship, or disability.