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Case Management Manager Job Description
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Case Management Manager
Job Summary
Responsible for providing comprehensive assessment, planning, implementation and overall evaluation of individual patient needs.
Primary Responsibilities
Evaluate patient to determine care, when the patient should be discharged, home planning, and other needs and action plans.
Complete expanded assessment of patient at time of admission.
Facilitate investigations, medical and treatment referrals, and ongoing legal proceedings.
Works with agencies and service providers to facilitate case coordination and information sharing.
Help patients understand their conditions and treatment options.
Interpret medical documents.
Ensure that patient tests are appropriate and necessary.
Coordinate the integration of social services/case management function.
Present denial letter.
Evaluate patient satisfaction and quality of care provided.
Communicate with physicians and develop working relationship.
Maintain appropriate cost.
Assess patient's progress throughout hospital stay.
Refer cases where patients and/or family would benefit from counseling.
Help patient and family make informed decisions.
Review treatment goals and resources.
Provide education and literature about diagnosis.
Participate in the development and implementation of patient care policies and protocols.
Promote effective and efficient utilization of clinical resources.
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