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A case manager's duties include creating discharge plans, compiling insurance information, conducting utilization reviews, generating rehabilitation plans and negotiating coverage benefits with patients and insurance companies.
Hospital case managers are sometimes referred to as care coordinators or patient advocates, depending on their specific role. In any case, they can serve as a valuable resource for the patient, the hospital, and the patient's health plan.
RN Case Manager Job Description. In healthcare, an RN case manager is pivotal in managing and coordinating the care of individuals with complex or chronic medical conditions. They are dedicated advocates, ensuring patients receive the most appropriate and timely healthcare services and resources.
If you need to know what makes up the daily duties, tasks, and responsibilities of hospital case managers, the following job description example highlights them: Develop and implement action plans for effective treatment of patients. Maintain record of client treatment and progress of recovery.
A Case Manager, or Social Service Assistant, is responsible for helping those with chronic illness, mental health issues or life-altering conditions to gain access to rehabilitation programs and other community services.
To help you identify qualified candidates, we’ve provided a hospital case management job description template with examples of benefits, duties, compensation, and responsibilities. Couple this job description with probing interview questions to narrow down potential candidates for your team.
The RN Case Manager serves as a resource to the care team with regards to discharge planning, and provides review of medical utilization to third party payers to obtain certification for the hospital stay.
Hospital case manager: Hospital case managers often serve as intermediaries between the patient and health care providers. They ensure the patient receives care that's not only medically necessary but also within the bounds of their health insurance plan.
Case managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. Oftentimes case managers work with physicians, social workers, families, and human services providers.
What does a HOSPITAL CASE MANAGER do? Case managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress.