Case Manager
2 weeks ago
Work with us at PAM Health Rehabilitation Hospital of Venice
The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate achievement of desired financial and quality outcomes. The Case Manager will also maintain and enhance payor relationships. Performs other related duties as assigned or requested. This is an exempt position.
RESPONSIBILITIES
Admission Data Collection and Assessment
• Assesses, plans, monitors, and coordinates plan of care from pre-admission to community re-entry through the implementation of case management standards and processes.
• Assesses the individual's personal and medical history, current status, diagnosis, prognosis, and the proposed treatment plan.
• Promotes and utilizes the appropriate level of care for the patient and refers to other facilities as needed.
• Adheres to contract agreements and specific criteria.
• Serves as a liaison with payor source points of contact to verify and guarantee coverage and identify items required to process the claim for service.
• Assists patient and or caregiver in developing realistic goals to direct the treatment regimen.
• Proactively communicates with payor source to explore coverage solutions (flex benefits, out of contract, etc.).
Planning, Implementation & Facilitation
• Promotes optimal outcomes for the patient within the boundaries of the diagnosis.
• Coordinates and facilitates interdisciplinary team (IDT) meetings and plan of treatment.
• Meets with patient, family, and IDT to facilitate "continuity of care".
• Implements utilization review process and continuously evaluates the appropriate level of care with the interdisciplinary team and payor, and patient/caregiver(s). Proactively obtains authorization for any extension of service of LOS.
• Coordinates the discharge plan with the IDT and providers.
• Monitors expense versus revenue for caseload on a daily basis.
Advocacy
• Proactively collaborates with the health care team, payors, community agencies, providers and legal representatives to ensure continuity throughout the continuum.
• Serves as a liaison with the treatment team and the primary care physician, referring physician, medical director, patient/caregiver(s), and other parties as appropriate.
• Promotes effective communications among treatment team members, patient/caregiver(s), primary care physician, referring physician, medical director, and payor.
• Participates in care conferences, family conferences, etc. when indicated.
• Educates and supports the individual/family to be empowered and self-reliant in being advocates for themselves.
• Uses the mechanism of early referral to promote and provide optimum care and cost containment.
• Represents the individual's best interests through assisting in finding necessary funding, offering treatment alternatives, and coordinating treatment.
Monitoring & Evaluation
• Continuously reviews and evaluates the patient's progress, as reflected by the goals defined in the treatment plan.
• Uses appropriate auditing processes and tools to ensure department and treatment efficiency.
• Participates in performance improvement evaluation processes with particular emphasis on results-oriented treatment.
Professional Growth
• Maintains professional growth in case management by: attending continuing education opportunities; reviewing pertinent professional literature; maintaining knowledge of current community resources; and reviewing and being familiar with the managed care marketplace to determine managed care growth potential, opportunities, penetration, service trends, relationships, networks, etc.
QUALIFICATIONS
Education and Training: RN, OT, PT, SLP or LSW licensure in state where the hospital resides required. Current BLS certification required.
Experience: Three to five years of inpatient experience, preferably in an acute, IRF or LTACH setting.
ABOUT US
PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 70 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research.
Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program.
We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.PAMHealth.com for a comprehensive look at how we're able to positively impact our local communities.
PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.
-
Case Manager
2 months ago
Venice, United States AltaStaff Full timeAltaStaff is a staffing agency currently looking for a Case Manager to work with our Managed Care Client! We are currently hiring for the Sarasota/Venice, FL area!Pay Rate: $27.00 -$32.00 hourly ($33-$43 hourly for Licensed candidates) Shift: Monday - Friday 8:30am - 5:30pm EST This is a Hybrid position, some field work is required. Mileage Reimbursement...
-
Healthcare Case Manager
1 week ago
Venice, California, United States Purple Cow Recruiting Full timePosition OverviewThe role of a Healthcare Case Manager is essential in ensuring that patients receive comprehensive support throughout their healthcare journey. This position involves working collaboratively with a diverse team, including patients, families, healthcare professionals, and community resources.Key ResponsibilitiesThe Case Management process is...
-
Case Manager
3 months ago
Venice, United States PAM Health Full timeCase Manager (RN, OT, PT, SLP or LSW)Work with us at PAM Health Rehabilitation Hospital of Venice! The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of...
-
PRN RN Case Manager
2 weeks ago
Venice, United States Empath Health Full timeJob Details PRN RN Case Manager Apply Job ID PRNRN008696 Date posted 07/18/2024 Position Type PRN Coverage area includes the Southern Sarasota and Charlotte county areas. The PRN RN Case Manager creates and maintains a plan of care, serving as the coordinator for patient and family interaction with Tidewell for the duration of the patient's hospice...
-
Social Services Case Manager
1 week ago
Venice, California, United States St. Joseph Center Full timeJob OverviewThe Case Manager plays a vital role within a collaborative team of social service professionals, ensuring the provision of exceptional care in compliance with the guidelines set forth by relevant mental health authorities. This position aligns with the mission of St. Joseph Center, which is dedicated to supporting individuals and families in...
-
Healthcare Case Manager
2 weeks ago
Venice, California, United States Purple Cow Recruiting Full timePosition OverviewThe role of a Case Manager involves a collaborative approach to patient care, engaging with various stakeholders including patients, caregivers, healthcare professionals, and community resources.This position emphasizes the importance of effective communication and coordination of care throughout the patient’s journey, ensuring seamless...
-
Healthcare Case Manager
1 week ago
Venice, California, United States Purple Cow Recruiting Full timePosition OverviewThe role of a Case Manager is pivotal in fostering a collaborative environment that includes patients, their families, healthcare professionals, and community resources.This position emphasizes the importance of effective communication and seamless care coordination throughout the healthcare continuum, particularly during transitional phases...
-
Healthcare Case Manager I
4 weeks ago
Venice, United States Professional Management Enterprises Full time $45Job DescriptionJob DescriptionLooking for a long-term care Case Manager I in the Sarasota/ Venice, FL area responsible for health care management and coordination of members to achieve optimal clinical, financial and quality of life outcomes. The position is fully remote but will require Face to Face visits in the members home/ALF or SNF. The work schedule...
-
Case Manager I
4 days ago
Venice, California, United States St. Joseph Center Full timeJob SummaryThe Case Manager I - Multifaceted Intervention Specialist serves as a vital team member with social service professionals and paraprofessionals to deliver high-quality care in accordance with the rules and regulations established by the Los Angeles Department of Mental Health for contracted agencies while adhering to the mission of St. Joseph...
-
Long-Term Care Case Manager I
2 weeks ago
Venice, Florida, United States Professional Management Enterprises Full timeJob OverviewWe are seeking a dedicated Case Manager I specializing in long-term care to oversee health management and coordination for members, ensuring optimal clinical, financial, and quality of life outcomes. This role is primarily remote, with the requirement for in-person visits to members' residences or facilities.Key ResponsibilitiesIdentify and...
-
Care Manager RN
1 month ago
Venice, United States Providence Full timeDescription Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through effective resource coordination. Providence...
-
Case Manager
4 weeks ago
Venice, United States Collabera Full timeDescription Home Search Jobs Job Description Case Manager (Venice Area) (Field Visits) Contract: Venice, Florida, US Salary: $45.00 Per Hour Job Code: 351814 End Date: 2024-08-17 Days Left: 3 hours left Apply • Manage and coordinate care for healthcare members, ensuring optimal health outcomes through effective care plans and compliance with...
-
RN Triage Case Manager
4 days ago
Venice, Florida, United States Tidewell Full timeAbout the RoleTidewell Hospice is seeking an experienced and team-oriented RN Triage Case Manager to join our team. As a RN Triage Case Manager, you will be responsible for creating and maintaining a plan of care, serving as the coordinator for patient and family interaction with Tidewell for the duration of the patient's hospice experience.Key...
-
Community Support Case Specialist
2 weeks ago
Venice, California, United States St. Joseph Center Full timeJob OverviewAs a vital member of our team, the Case Manager plays a crucial role in delivering exceptional care and support to individuals and families in need. This position requires collaboration with a diverse group of social service professionals to ensure compliance with established guidelines while promoting the mission of St. Joseph Center.Key...
-
Case Management 1 yr Exp
2 months ago
Venice, United States Ampcus Full timeLOCATION: Venice Family Clinic; 604 Rose Ave., Venice, CA 90291 | REQUIRED: Comfortable with and has experience speaking with patients, comfortable and respectful in asking patients about their personal information, bilingual Spanish-speaking strongly preferred.
-
Patient Care Management Specialist
2 weeks ago
Venice, California, United States Purple Cow Recruiting Full timePosition OverviewThe role of a **Care Manager** is integral to ensuring optimal patient outcomes through effective **case management** practices. This position emphasizes collaboration among various stakeholders, including patients, caregivers, healthcare professionals, and community resources.Key ResponsibilitiesThe **Case Management** process is designed...
-
PRN LPN Case Manager
3 months ago
Venice, United States Tidewell Full timeTidewell Hospice, a beautiful Southwest Florida healthcare organization, is seeking an experienced and team-oriented LPN to join our PRN Team for Charlotte and Southern Sarasota county areas.Under physician's orders and RN supervision, the Licensed Practical Nurse (LPN) is responsible for the observation of patient/family needs and providing palliative and...
-
PRN LPN Case Manager
3 months ago
Venice, United States Empath Health Full timeTidewell Hospice, a beautiful Southwest Florida healthcare organization, is seeking an experienced and team-oriented LPN to join our PRN Team for Charlotte and Southern Sarasota county areas. Under physician’s orders and RN supervision, the Licensed Practical Nurse (LPN) is responsible for the observation of patient/family needs and providing palliative...
-
PRN LPN Case Manager
3 months ago
Venice, United States Tidewell Full timeTidewell Hospice, a beautiful Southwest Florida healthcare organization, is seeking an experienced and team-oriented LPN to join our PRN Team for Charlotte and Southern Sarasota county areas. Under physician's orders and RN supervision, the Licensed Practical Nurse (LPN) is responsible for the observation of patient/family needs and providing palliative and...
-
Safety Manager
4 weeks ago
Venice, United States Avantor Sciences Full timeThe Opportunity: Avantor, a Global Fortune 500 company is looking for a dedicated Safety Manager to optimize our Performance Materials organization. This St. Louis, MO, role is full-time, on- site. If you have safety - let's talk!Minimum Education Requirement:Bachelor's degreeRequired Experience (6 + years):Development and execution of the safety and...
