Responsibilities
The Case Manager is responsible for utilizing advanced practice nursing skills in the assessment, education, and coordination of care for an identified group of patients. · Collaborates and consults with the multi-disciplinary team, including but not limited to Physicians, Nursing, Ancillary, Professional, Technical, other clinical and/or department team members along with patients and families to ensure safe and effective coordination of care. · Assesses, coordinates, develops and implements individualized care plans utilizing evidence based tools for risk stratification to ensure delivery of safe, high quality, efficient, and cost-effective care. · Performs Utilization Review functions using standardized practice tools to guide billing and level of care practices. · Assures the delivery of concurrent and post-hospital care through initiation of referrals, coordination of resource utilization, and evaluation of post-acute care services. · Effectively manage the post-acute referral process through the continuum of care to ensure safe discharge. · Participate in performance improvement projects/processes and other duties as assigned
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