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Social Worker-RN-Supervisor of Healthcare Transition-Managed Care

Job Description


Job Summary
Oversees the integrated Care Transition team responsible for safely and effectively transitioning members from acute or inpatient care to lower levels of care and/or home in a cost efficient manner.  Monitors information daily as appropriate including member metrics and staff productivity. Evaluates the services provided and outcomes achieved by the team and recommends enhancements and/or improvements for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines in day-to-day activities.
Essential Functions
• Oversees, coordinates and monitors all Care Transition clinical and non clinical team activities to facilitate integrated proactive multidisciplinary management.
• Monitors onsite hospital discharge visits and post-discharge visits to assure continuity of care and prevent unnecessary readmissions.
• Manages and evaluates team members in the performance of various care transition and discharge planning activities.
• Performs and promotes interdepartmental integration and collaboration to enhance the continuity of care including Behavioral Health and Long Term Care for members.
• Ensures adequate staffing and service levels, and maintains customer satisfaction by implementing and monitoring staff productivity and performance indicators.


Job Requirements

Knowledge/Skills/Abilities
• Demonstrated ability to communicate, problem solve, and work effectively with people.
• Skilled at supervising high functioning multidisciplinary teams.
• Knowledge of community resources.
• Able to use effective management principles.
• Excellent organizational skills with the ability to manage multiple priorities.
• Work independently and handle multiple projects simultaneously.
• Knowledge of applicable state, and federal regulations.
• In depth knowledge of Interqual and other references for length of stay and medical necessity determinations
• Experience with NCQA.




Abe Ghebrehiwet

Senior National Account Executive

Nurse Resolutions

888.411.2228 ext 204. Toll Free

407.982.7508. Fax

www.nurseresolutions.com

[Click Here to Email Your Resumé]


home health, home care, homecare, oasis, amherst, new york

Job Snapshot

Contact Name Abe Ghebrehiwet
Contact Phone 888.411.2228 x 204
Post Date 8/15/2014
Location Long Beach, CA
Employment Type Full-Time
Job Type Nurse, Health Care, Insurance
Education Not Specified
Experience At least 2 year(s)
Manages Others No
Relocation No
Industry Healthcare - Health Services, Managed Care, Insurance
Required Travel Not Specified
Job ID abe
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