2 inpatient case manager jobs found

Job Summary: Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe  discharge plan to include recommending alternative levels and sites of care when appropriate.  The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff.  Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served....

SIGN ON BONUS OF $10,000 AVAILABLE TO ELIGIBLE EXTERNAL HIRES!   Job Summary: Responsible for coordinating care for identified members with complex medical conditions in collaboration with hospital physicians, QRM staff (IPCC, CM, SW, PTSP), practitioners, medical office staff and other providers. The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home.  Collaborates with physicians, telephonic care coordinators, inpatient case management/ social workers, telephonic to create a safe discharge plan for identified complex patients.  Key job functions include assessment of identified members, development of a safe discharge plan from acute inpatient, skilled nursing, LTAC and Inpatient Rehab facilities.  Coordinates post-acute services and follow- up medical care to ensure continuity of care.  The Acute Transitional Case Manager (TCM) will identify and communicate any barriers to...