Clinical Case Manager
1 month ago
We are seeking a highly skilled Clinical Case Manager to join our team at Cynet Health. As a Clinical Case Manager, you will play a critical role in coordinating patient care and ensuring seamless transitions between healthcare settings.
Key Responsibilities:- Plan, organize, and coordinate swing bed admissions and review emergency department admissions and discharges.
- Provide administrative and clerical services and contribute to process improvement.
- Coordinate with the referral specialist and manage, obtain, and share medical records.
- Perform financial assessment to ascertain patients' source of payment for in-patient stay to begin review process and obtain timely payment for services rendered by hospital.
- Provide information in response to queries from doctors' offices, families, and outside facilities.
- Provide case management, social services, utilization review, and discharge planning daily and on weekends as scheduled.
- Identify and coordinate swing admissions and verify admission requirements are met before transfer, including necessary screens and tests within the appropriate time frames.
- Review ED admissions/discharges and contact ED patients to coordinate follow-up visits with PCP or assist with coordinating transfers to another facility if needed.
- Develop and maintain relationships with specialty offices to aid in any transfer or collaboration of care.
- Participate and collaborate with interdisciplinary team and attend UR meetings.
- Review patient charts when a request for counseling is received.
- Review and assess need for intervention and/or appropriate community resources.
- Bilingual in Spanish preferred.
- Ability to multitask and work effectively in a fast-paced environment.
- Proficiency in using computers and various software systems, including Microsoft Office, Athena, EMR, and Point Click Care.
- Identify, analyze, and resolve patient care problems to foster significant improvement in patient care.
- Educate patients and families about the disease process and treatment.
- Ability to connect, inform, and advise all ancillary departments of any changes to the patient care plan.
- Knowledge of community resources and support services.
- Competitive salary.
- Assistance with finding housing.
- Boat travel stipend.
- Health, dental, and vision insurance.
- Employee Assistance Program.
- Retirement plan.
- Employer-paid life insurance.
- Short and long-term disability.
- Critical illness and cancer coverage.
- Vacation and paid holidays for all full-time positions.
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