CASE MANAGER FT (13195)

Job Summary:

• Coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care.
• Support physician provision of patient care with accountability for designated patient case load.
• Facilitate precertification and payor authorization processes and facilitate collaborative management of patient care across the continuum, intervening as necessary.
• Promote effective utilization and monitoring of healthcare resources and assumes a leadership role with the multidisciplinary team to achieve optimal clinical and resource outcomes.
• Apply process improvement methodologies in evaluating outcomes of care.
• Maintain and ensure adherence to clinical guidelines, tools and protocols based on evidence-based medicine related to quality measure indicators.
• Assume leadership role in coordinating quality improvement activities related to quality measure initiatives.
• Demonstrate and encourage team behavior and exceptional patient/guest experiences.
• Uphold and promote patient safety and quality.