Case Management Job Description

* Coordinates the care for patients in collaboration with other members of the health team, patient and family.

* Advocates on behalf of patients and caregivers for service access, and for the protection of the patient?s health, safety and rights.

*Advocates on behalf of the organization to promote safety, quality and appropriate resource utilization.

* Evaluates the medical necessity and appropriateness of patient admissions and checks the level of care status of patients from admission to discharge.

* Completes documentation responsibilities as identified by hospital and department policy.

* Leads members of the team to assess and plan for individual patient discharge needs. Collaborates with Social Worker team member based on complexity of needs.

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As a member of a multidisciplinary team, in a leadership role, is accountable and responsible for coordinating the care and service of selected patients and for the promotion of collaborative practice and continuity of care. As a result, effective utilization of resources and the achievement of desired clinical and financial outcomes will be accomplished. Provides patient care in a home setting.

Develops and maintains professional relationships with medical staff, clinical team, community providers and payers to promote effective coordination of care across the continuum of services.

* Attends and actively participates in committees as appropriate for service lines.

* Identifies opportunities for and participates in performance improvement activities related to both service line specific and organization wide initiatives.