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Company Contact Info

  • Nashville, TN
  • Josh Wolfe

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RN Case Manager

Green Key Resources • Nashville, TN

Posted 5 days ago

Job Snapshot

Full-Time
Travel - None
Experience - At least 3 year(s)
Degree - 2 Year Degree
$65,000.00 - $75,000.00 /Year
Healthcare - Health Services
Health Care
0

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Job Description

Responsibilities:

  • Reviews clinical case history for incoming students and initiates follow-up communication with entering students, who have identified a significant or chronic medical condition
  • Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits.
  • Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.
  • Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance to physician orders.
  • Oversees and assures development, implementation, and updates to the individualized patient plan of care, as appropriate.
  • Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders to clinicians. Uses coordination notes to document, as needed and appropriate.
  • Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate.
  • Coordinates all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers.
  • Follows-up on lab and other clinical diagnostic test, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications and communicates such to clinicians.
  • Schedules, prepares for, facilitates, and documents case conference/SOC reports and facilitates effective exchange of information across disciplines especially with adverse findings, changes in patient condition, daily and urgent updates, as necessary.

Job Requirements

Required:

  • MUST be an RN with a clear and active license in TN (Nursys)
  • 2+ Years of CM background (Hospital or HP)
  • Background in Hospital - ICU, Critical Care type case load (A++) – REQUIRED
  • LTAC experience is a plus
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