What are the responsibilities and job description for the Case Manager - Granada position at Rockport Healthcare Services?
Principal Responsibilities: CLINICAL
• Coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication.
• Conducts pre-admission on-site assessments to ensure clinically appropriate admissions in accordance with Federal, State and Company requirements.
• Ensures continuity of care appropriate to meet patient, payor and Company requirements.
ADMINISTRATIVE
• Supports the overall goals of the Company and the Center.
• Determines resource utilization specific to patient care needs, outcome expectations, payor and Company requirements.
• Participates in negotiating coverage as assigned.
• Ensures exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.
• Attends all Center or Company required inservices and meetings.
• Ensures all documentation necessary for quality case management is maintained according to Federal, State and Company requirements.
QUALIFICATIONS
• Current licensure in State in which practicing.
• Strong administrative and organizational skills.
• Minimum 2 years experience in case management.
• Bachelors degree in health care field preferred.
CONSUMER SERVICE
• Presents professional image to consumers through dress, behavior and speech.
• Adheres to Company standards for resolving consumer concerns.
• Ensures that all patient/resident rights are protected.
• Coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication.
• Conducts pre-admission on-site assessments to ensure clinically appropriate admissions in accordance with Federal, State and Company requirements.
• Ensures continuity of care appropriate to meet patient, payor and Company requirements.
ADMINISTRATIVE
• Supports the overall goals of the Company and the Center.
• Determines resource utilization specific to patient care needs, outcome expectations, payor and Company requirements.
• Participates in negotiating coverage as assigned.
• Ensures exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.
• Attends all Center or Company required inservices and meetings.
• Ensures all documentation necessary for quality case management is maintained according to Federal, State and Company requirements.
QUALIFICATIONS
• Current licensure in State in which practicing.
• Strong administrative and organizational skills.
• Minimum 2 years experience in case management.
• Bachelors degree in health care field preferred.
CONSUMER SERVICE
• Presents professional image to consumers through dress, behavior and speech.
• Adheres to Company standards for resolving consumer concerns.
• Ensures that all patient/resident rights are protected.
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