Hospital LVN Case Manager

• Coordinates and monitors patients through the hospitalization process utilizing physicians, primary care nurses, and third party payors to maintain quality care and fiscal responsibility.

• Assists the admitting department in identifying and resolving problems regarding appropriate admissions.

• Acts as a resource/advisor to physicians for adequate medical record documentation, appropriateness of facility services as they relate to diagnoses, and options for post-discharge care.

• Reviews the post hospital care plan with the patient/family. Establishes a contract regarding time frames and responsibilities. Follows plan through to discharge.

• Utilizes community services to provide optimal discharge planning, monitors/expedites timely completion of services to avoid delays in care or discharge, facilitate third party reimbursement approval and/or authorization, conducts post discharge activities and documentation, responsible for completion and interpretation of patient statistical reporting.

• Coordinates with multi-disciplines to include Dietary, Physical Therapy, Occupational Therapy, Speech, Social Services, Infection Control, etc., to insure efficient use of hospital resources.

• Answers questions from patients and their families, including providers regarding reimbursement of covered and non-covered services

• CA LVN License- Required

• Primary Source On-line Verification-Required (verify license online and upload)

• BLS-Required

• 2 years of recent experience in an acute care facility-Required

• Ability to evaluate the medical records of hospital admissions - required

• Medical-Medicare experience-Preferred

• McKesson Interqual experience- Preferred

INTERESTED IN BEING CONSIDERED? Take the next step! Click on the green I'M INTERESTED button to submit your resume for review. Or send your resume to Kurt Hughes directly at kurt@healthcaresupport. com

All your information will be kept confidential according to EEO guidelines.