- Proactively identifies patients/individuals in need of care management services/intervention.
- Gathers information about assigned populations and prioritizes workload appropriately to meet desired outcomes.
- Responds to referral requests in a timely manner and offers possible alternatives for assistance if referral is not appropriate for care management intervention.
- Conducts/documents admissions assessments in a complete and timely manner in accordance with department standards.
- Conducts/documents utilization reviews in a complete and timely manner.
- Utilizes InterQual criteria and communicates outcomes as indicated/warranted to appropriate parties.
- Maintains a holistic view of the patient and his/her needs
- Develops and documents a plan to address identified barriers to care collaboratively with the patient/family, physician, and interdisciplinary team
- Documents the discharge plan in a complete and timely manner
- Updates the discharge plan as warranted/patient condition changes
- Appropriately addresses any identified issues that may put a patient at risk for readmission
- Discusses transitions of care and discharge planning with patients and families (HCAHPS)
- Documents discharge disposition.
- Completes and provides all required forms, including but not limited to: the Important Message from Medicare (IM), the Choice Letter, Hospital-to-Hospital transfer forms, SNF transfer forms, the PASRR.
- RN or Foreign Medical Graduate.
- Case management, Utilization Review and Discharge planner experience is required.
- Minimum of 2 years experience in hospital setting.
- InterQual experience preferred.
- Bilingual preferred.
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more
Care Manager Per Diem - Miami Beach, United States - Mount Sinai Medical Center of Miami Beach
Description
Care Manager Per DiemAs Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community.
In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country.
We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more.
Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring:
The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research.
At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida.
We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.Position Responsibilities:
Qualifications:
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs.
Our robust employee benefits package includes: