RN Case Manager
Company: Bolivar Medical Center
Posted on: January 25, 2023
Monitors and manages patient care to promote continuity of care,
optimal patient outcomes, patient satisfaction, cost efficiency and
Consults with nursing staff and multidisciplinary team regularly to
evaluate patient's status and appropriateness of medical care,
including admission, length of stay, transfer and discharge.
Monitors patient and family satisfaction. Responds to questions and
complaints from patients, family members, and payors regarding
care. Participates in discharge planning including coordinating
patient transfers to other facilities and coordinating community
resources. Provides discharge education and resource referrals to
patients. Performs chart review to identify actual or potential
issues with service delivery, patient outcomes and satisfaction,
compliance, cost, and reimbursement. Performs intake assessment on
patient within 24 hours of admission. Reviews patient care
activities for occurrences and trends that affect the quality, cost
effectiveness, and delivery of services. Assures that the outcome
of review is appropriately maintained in the computer database.
Assumes responsibility for timely completion of required case
management reports for regulatory bodies, health plans, reinsurance
carriers, and the PMG/ IPA Board of Directors. Functions as a
patient/ family advocate. Maintains optimal continuum of patient
care through efficient and effective planning, assessing and
coordination of healthcare services. Establishes and maintains
efficient methods of ensuring the medical necessity and
appropriateness of all hospital admissions. Performs concurrent
reviews for patients to ensure that extended stays are medically
justified and are so documented in patient's medical records.
Calculates the length of stay and continued stay days for patients.
Maintains a liaison with the social service department to
facilitate timely discharge planning.
Keywords: Bolivar Medical Center, Jackson , RN Case Manager, Executive , Cleveland, Mississippi
Didn't find what you're looking for? Search again!