Care Manager (LPN/RN)
Location: Clearwater Florida
Description: JSA Healthcare Corporation is currently interviewing Care Manager (LPN/RN) right now, this career will be placed in Florida. More complete informations about this career opportunity kindly read the description below. POSITION SCOPE:
The Care Manager is responsible for the oversight of pre-certification, patient care management, discharge planning, and health plan compliance within the! centers.
RESPONSIBILITIES:
Monitor inpatient, outpatient, and SNF patients and initiate patient care arrangements. Report findings to Medical Management, Medical Director, and Physicians. Responsible for patient care management to assure appropriate care is provided; reinforce patient education regarding preventative care, dietary restrictions, medications and other therapeutic regimens; coordinate home health and DME requests and provide recommendations to the PCP and Medical Director. Provide oversight in patient care evaluation, coordinate the collaboration of the Primary Care Provider and Consultants, and make suggestions to improve plans to meet patient needs. Assist with the monitoring of utilization management and make recommendations regarding effectiveness of health care resources, trending and intervention. Assist in the assessment of clinic operations and make recommendations as necessary. Assure compliance with CMS guidelines and covered hea! lth plan service guidelines. Assist with the contestation of P! art A and Part B claims as needed. Consistently apply guidelines to the medical record review process. Evaluate and recommend health delivery network changes with the Medical Director, PCP and Medical Management Team. Participate in QI projects. Attend Care Management meetings, POD meetings and other meetings as requested. Participate in patient satisfaction programs. Follow up on all inpatient/outpatient discharges. Assist PCP, Medical Management and Medical Director with the management of high-risk patient populations and appropriate care management plans. Other duties as assigned.
Requirements
LPN/RN license in the State of Florida
Ability to perform care management
Knowledge and skill in the applications of the techniques and practices of the nursing profession
Ability to explain medical instructions to patients and their families
Ability to learn and understand appropriate Federal, State, and local regulations, and follow company polic! ies and procedures
Ability to interact and deal tactfully with the public
Ability to read, write, speak and understand the English language fluently
Ability to communicate effectively, establish and maintain an effective working relationship with patients, families, physicians and staff and deal effectively and professionally under pressure
Ability to travel locally
Must maintain consistent, punctual and reliable attendance
Bilingual a plus (English/Spanish)
- .
If you were eligible to this career, please email us your resume, with salary requirements and a resume to JSA Healthcare Corporation.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Fri, 05 Jul 2013 21:16:51 GMT