Job Title: Case Manager/Discharge Planner/Utilization
Job Summary:
The Case Manager/Discharge Planner/Utilization Review position involves coordinating and managing the discharge planning process for patients, including reviewing utilization of healthcare services, ensuring appropriate care transitions, and facilitating communication between healthcare providers and patients.
Responsibilities and Duties:
1. Collaborate with healthcare team to develop and implement individualized care plans for patients
2. Conduct utilization reviews to ensure appropriate level of care and resources are being utilized
3. Coordinate discharge planning process, including arranging post-discharge services and follow-up care
4. Communicate with patients, families, and healthcare providers to ensure smooth care transitions
5. Evaluate patient needs and make referrals to community resources as needed
6. Advocate for patients to ensure they receive quality care and services
7. Maintain accurate and updated documentation of patient care plans and services utilized
Qualifications and Skills:
1. Bachelor's degree in nursing, social work, or related field
2. Previous experience in case management, discharge planning, or utilization review
3. Strong communication and interpersonal skills
4. Knowledge of healthcare systems and regulations
5. Ability to work independently and collaboratively with a multidisciplinary team
6. Excellent organizational and time management skills
7. Current certification in case management (CCM) preferred
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