The Lead Case Manager is responsible for assisting with the daily oversight of the hospital census to ensure effective and timely transitions of care. The Lead assists with the oversight of regulatory compliance processes and staff compliance with policies and procedures. The Lead develops collegial relationships with the interdisciplinary team leads. The Lead educates case managers regarding health plans and regulatory changes related to transitions of care. This position provides feedback to s... more details
Description
The Lead Case Manager is responsible for assisting with the daily oversight of the hospital census to ensure effective and timely transitions of care. The Lead assists with the oversight of regulatory compliance processes and staff compliance with policies and procedures.
The Lead develops collegial relationships with the interdisciplinary team leads. The Lead educates case managers regarding health plans and regulatory changes related to transitions of care. This position provides feedback to staff to support well-coordinated care amongst the interdisciplinary team and post-acute providers. The lead monitors the length of stay to assist the team in securing authorization for the patient’s post-acute care through collaboration and communication with the health plan case managers and discharge planners. This position adheres to the CMS condition of Participation for Discharge Planning and other regulatory requirements
Core Competencies
Participates in Peer Review, Professional Development activities and acts as preceptor..
Provides patient and family education throughout the care of patient.
Participates in activities in alignment with the Magnet Model.
Complies with organizational quality dashboard benchmarking goals.
Makes daily work assignments for each Case Manager.
Attends Revenue cycle meeting monthly.
Utilizes experience, in-depth knowledge to effectively modify and document changes in nursing care and/or the plan of care to address patient care problems and keep the primary care provider updated on any changes. Assesses health needs of patients using specialized knowledge skills and anticipates the outcome of interventions.
Collaborates with the Utilization Review Nurse to expedite discharges and screen admission requests.
Performs chart review and quality assessments as directed.
Identifies inappropriate bed utilization and quality of care problems and refers them to Utilization Management physician advisor.
Education
Degree
Program
Bachelors
Nursing
Experience
Number of Years Experience
Type of Experience
5
Case Management
Additional Information
Five years clinical experience in an acute care facility.
Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.
We would like to take a second to Welcome You to Job Abstracts, the nation’s largest Pure Job Board. With over 3.1 million job listings from 15,000+ Companies & Organizations, we help job searchers find careers that match their interests. As an anonymous user, you have probably discovered how easy our system is to use. However, you have just scratched the surface of what we can offer.
We encourage you to Register so you can use our most powerful features: searching with multiple terms, setting up multiple locations, establishing favorite companies, and accessing your search history. If you find a job you like, you can apply directly for it, and then, keep notes on it. We will also keep a lookout for jobs that match your search terms and email you when we find something you may like.
You can register for free and the system is free to use. If you like our system so far, click on Register and unlock the power required by serious job searchers.
Any time you conduct a search, the system shows you job matches, ranked by their Relevance Score (RS).
The score is calculated by a proprietary algorithm that uses Intelligent Machine Learning.
The Relevance Score tells you how well the job opportunity matches your search term or terms.
When not logged in, the system is limited to one search term. Scores for single term matches are usually lower.
When you register, log in, and set up multiple terms prioritized by importance, the jobs found for you will receive a much higher Relevance Score.