Job Description
Ditmas Children's Nursing & Rehab is seeking for a Case Manager for our Skilled Nursing Facility to work Full-Time.
Case Manager Responsibilities
Responsible for facilitating interdisciplinary plans and assuring progress reports are completed and provided to payor as required; Also serves as liaison between patient, physician, care team members, payor, and the discharge planner by coordinating, monitoring, and communicating patient’s progress and cost evaluation and assisting with coordination to the next level of care.
- Negotiates appropriate level of care within contract terms with the payor case manager; Utilizes “Out of Contract Pricing Worksheet” for non-contracted arrangements.
- Communicates information to care team and coordinates patient's smooth transition to the next level of care.
- Obtains accurate information from physicians, patient, and payor source regarding the expected discharge plan and communicates this information to the interdisciplinary team
- Develops referrals from hospitals' social service and discharge planning departments, physicians, case managers, insurance companies and other referral sources
- Participates in Marketing Action Plan and Key Account Meetings, and assumes Key Account Management responsibilities as directed by their supervisor.
- Visits hospital social workers, physicians, hospital discharge planners and administrators, attorneys, support organizations (i.e., oncology, stroke, head injury, etc.) , civic/professional organizations, etc. to understand the need for program services and to communicate services offered which meet these needs to obtain referrals of patients
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