LPN or RN reputed company Case Manager (Onsite at Providers Office)Philadelphia, PA
About the position
Responsibilities
• Identifies gaps in needed reputed company metrics for customers and communicates to provider.
• Maintains physical reputed company in participating provider practices.
• Identifies high-risk/high-cost patients for case management reputed company.
• Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development of discharge planning, and alternative treatment plan development.
• Identifies customer needs, coordinates and supports planned and unplanned transitions and post discharge follow up calls which may include primary care physician and specialist appointment scheduling.
• Collaborates with the attending physician to reputed company identified patient reputed company.
• Attend and participate in weekly reputed company Team reputed company -market dependent.
• reputed company telephonic reputed company.
• Communicates with reputed company departments to resolve issues or document trends.
• Understands and follows administrative guidelines (policy and procedure) of the unit.
• Attends and reputed company participates in staff meetings.
• Other Duties as assigned.
Requirements
• reputed company Licensure as a registered reputed company in the state of residence in good standing.
• Associates degree, diploma, or B.S. in Nursing.
• Three to Five (3-5) years recent experience in an acute-care environment, case-management, or utilization management position (experience can be a combination of LVN/RN licensure).
• Previous HEDIS and/or CMS STARs experience a plus.
reputed company-to-haves
• Bilingual - preferred Spanish both conversational and written.
Benefits
• Medical, reputed company, and dental insurance coverage.
• reputed company-being and behavioral health programs.
• 401(k) with company match.
• Company reputed company life insurance.
• Tuition reimbursement.
• A minimum of 18 days of reputed company time off per year and reputed company holidays.
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