Case Manager

1 week ago


Indianapolis, United States TBG | The Bachrach Group Las Vegas Full time

Hospital Case Manager Job Description


A Hospital Case Manager plays a crucial role in coordinating patient care and ensuring efficient utilization of resources within a medical facility. They work collaboratively with social workers, physicians, nurses, and other medical staff to provide essential medical assistance and care to patients.


Responsibilities:

Discharge Planning:

  • Create discharge plans to determine if patients need further help or care after leaving the hospital.
  • Communicate with patients or their families about post-discharge steps, such as arranging for home care or follow-up appointments.

Insurance Information Compilation:

  • Acquire and compile necessary insurance information from patients.
  • Understand patient ailments and negotiate with insurance companies to prevent claim denials.

Utilization Reviews:

  • Conduct utilization reviews to ensure adherence to protocols and optimal patient care.
  • Evaluate whether patients are receiving the best care for their conditions or illnesses.


Qualifications:

  • RN, LSW, or LCSW license required.
  • Bachelor’s degree in a related field.
  • 2+ years of healthcare experience, preferably in a case management role.
  • Case management certification is preferred.


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