Case Manager-RN Needed in Georgia 62-94K

We are currently seeking a dedicated and compassionate Registered Nurse (RN) to join our team at Seasoned Recruitment as a Case Manager. As a Case Manager you will play a crucial role in coordinating and managing the care of patients in a healthcare setting. Your main responsibility will be to assess the individual needs of patients develop care plans coordinate services and advocate for their health and wellbeing. You will work closely with a multidisciplinary team and community resources to ensure that patients receive comprehensive and quality care.

Job Description:

Under the general supervision of the Case Management Director acts as a patient advocate/ Case Manager to hospital clients. An autonomous role that coordinates negotiates procures services and resources for and manages the care of complex patients to achieve quality and costeffective patient outcomes.
Essential Functions include but are not limited to:
Knowledge of and works within the CMS Conditions of Participation for Discharge planning
Timely assessment of patients identified with discharge planning needs
Development and implementation of discharge plans for each patient targeting optimal cost and quality outcomes
Reevaluation for discharge needs upon change of condition of the patient or caregivers ability to care for the patient
Maximizes care coordination efforts and collaborates with the healthcare team to promote efficient movement through the continuum of care
Identifies and mitigates delays in the delivery of care
Effective and appropriate communication with the healthcare team patient and family
Timely appropriate and accurate documentation of the discharge plan patient progress to plan and communication with the healthcare team patient and family in the medical record
Assists the Director of Case Management with collection of data for the UM Committee and other reports
Escalates cases appropriately
As required collaborates with payers to ensure authorization for discharge plan needs
Participates in Interdisciplinary Rounds
Displays effective communication skills
Assists the Director of Case Management with other job duties as requested
Demonstrates knowledge of HIPAA guidelines and utilizes them in all aspects of communication