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Case Manager (Discharge Planner)
VHC Health • Arlington, VA 22212 • Posted 9 days ago
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In-person • Full-time • Mid Level
Job Highlights
Using AI ⚡ to summarize the original job post
The Case Manager at VHC Health is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs. They ensure a coordinated continuum of care in accordance with JCAHO and hospital guidelines, serve as a liaison for the interdisciplinary team, the patient, and family, and facilitate retrospective reviews and approvals for care. Additionally, they implement and coordinate discharge plans utilizing available and appropriate community resources.
Responsibilities
- Collaborate in the assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs.
- Ensure a coordinated continuum of care in accordance with JCAHO and hospital guidelines.
- Serve as a liaison for the interdisciplinary team, the patient, and family.
- Ensure timely, smooth, and clinically appropriate care planning process.
- Maintain communications with the payor at the time of admission and throughout the hospitalization to ensure necessary approvals for care and clarification of benefits.
- Facilitate retrospective reviews and approvals for care whenever necessary.
- Implement and coordinate discharge plans utilizing available and appropriate community resources.
Qualifications
Required
- Graduation from an accredited school of social work, nursing, or a related field or equivalent.
Preferred
- Five years of experience in the healthcare field.
- Experience in case management.
About VHC Health
Company X is a global technology company specializing in cloud computing services. They offer a wide range of digital products, including web hosting, storage solutions, and AI services.
Full Job Description
Job Description
Purpose & Scope:
The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated continuum of care in accordance with JCAHO and hospital guidelines and serves as liaison for the interdisciplinary team, the patient, and family to ensure a timely, smooth, and clinically appropriate care planning process. The Case Manager also maintains communications with the pay or at the time of admission and throughout the hospitalization to ensure necessary approvals for care and clarification of benefits. They facilitate retrospective reviews and approvals for care whenever necessary, and they implement and coordinate discharge plans utilizing available and appropriate community resources.
Education:
Graduation from an accredited school of social work, nursing, in a related field or equivalent is required.
Experience:
Five years of experience in the healthcare field is preferred.
Experience in case management is preferred.
Certification/Licensure:
None.
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