Case Manager Prn - (US-KY-London - 40745)

Minimum Education: None
Job Type: Full Time
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Responsibilities : The role of this job is to coordinate care across a continuum or episode of care; facilitating the achievement of quality outcomes, negotiating, procuring, and coordinating services and resources needed by patient/families; intervening at key points (and/or at significant variances from the usual pattern of care: for individual patients; identify issues that consistently have a negative quality/cost impact; and creating opportunities and systems to enhance outcomes).Essential Duties:Provides clinical information to third party payors. Demonstrates discretion when dealing with sensitive issues involving patients, families, and physicians to maintain confidentiality of patient and hospital records. Documents accurately and completes information related to third party authorization of hospital services.Documents discharge plan on medical record as needed.Facilitates appropriate clinical documentation to ensure the level of services and acuity of care accurately reflected in the medical record. Updates DRG worksheet to reflect any changes in patient status, procedures/treatments, and confers with the physician to finalize diagnosis.Conducts follow-up reviews of clinical documentation to ensure issues discussed and clarified with the physician have been recorded in the patient's chart.

Requirements :Graduate of accredited Nursing program preferred.Experience:One (1) year experience in case management or utilization review or clinical pathway development.Five (5) years experience in a clinical setting.Two (2) years charge nurse/team leader or related experience. office machine and computer experience including Fax machine, Computer, Pager, Telephone/Voice Mail.License/Certifications:Valid State RN or LPN license required.BLS Certificate required. Additional Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.

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