- Assessing patient's physical and mental wellness, needs, preferences and abilities and using these to develop tailored care plans
- Working with clients, family and friend support networks and health care professionals to put care plans in place
- Recording clients' progress including charting referrals, home visits and other notable interactions
- Evaluating clients' progress periodically with clinical provider team and making adjustments as needed to improve outcomes
- Coordinate discharge planning for skilled nursing patients
- Manage and build relationships with Home Health and Hospice partners
- Assist Practice Management team in tracking, monitoring and intervening in ACO/ISNP and Optum patient metrics
- Assist provider teams in Annual Wellness Visits within our Long Term Care and Skilled nursing facilities
- Track and implement improvement plans to decrease return to hospitalizations and improve overall health and wellness for our patients
- Critical thinking and problem solving to determine the best plan of care after assessing patient's chart, reviewing with clinical providers and implementing interventions
- Manage and communicate barriers to Practice Management team
- Transitional care management program- schedule, assist and complete TCM calls and Visits
- Assist with TeleMedicine visits as assigned by Practice Manager
- Maintain positive professional relationships with company vendors
- Build and maintain new relationships with facilities and Home health Vendors
- Training care coordinators
- Administrative duties as assigned
- Oversight of care coordination team
- Delegate appropriate assignments to care coordinator teams MA/LPN
- Participate in admin on call rotation with other admin personnel
- Manage patient caseload for entire practice with support from Care Coordinators and Triage Manager
- LPN or RN active license
- Minimum of 1 year Case Management or Post acute care experience
- Experience in use of Electronic Medical Records
- Preferred experience in ACO an/or value based care models
- Strong written and verbal communication skills
- Experience with Google suites and smart sheets preferred
- Locally Owned and Operated
- Competitive Salary and Benefits
- Paid Time Off
- 401K
- Medical, Dental, and Vision Insurance
- Paid Holidays
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
- 8 hour shift
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case manager - Englewood, United States - Summit Medical Consultants PLLC
Description
Job Description
Job DescriptionJob descriptionCase Manager
Summit Medical Consultants is recruiting for a Case Manager that will support our practice with clinical administrative assistance. This is a full time hourly position, with a full benefits package
Summit Medical Consultants is a rapidly growing Physician Practice. Founded in 2015 with 3 employees, we have expanded to approximately 75 employees and are continuing to grow. If we were a hospital in Colorado, we would rank 9th by number of admissions per year. Our mission is to provide patients and their families with robust clinical services throughout their Acute Inpatient Rehab, Skilled Nursing, Long Term Care and Assisted and Independent Living stays. We coordinate with the Hospitalists and Specialist physicians and surgeons, Physical, Occupational, and Speech Therapies, Case Management and Psychiatry at the facility level to provide compassionate and coordinated care.
Job responsibilities include, but are not limited to:
This description is intended to serve as an outline. Please note the above responsibilities are not an exclusive list. You will be given additional duties, tasks, and responsibilities in your employment. It will be your responsibility to complete all other tasks assigned.
Job Qualifications:
Benefits:
Pay Range:
Job Type: Full-time
Salary: $65, $70,000.00 per year
Benefits:
Schedule:
Work Location: On the road