Responsible for providing care and services of selected member populations across the continuum of illness Ensures effective utilization and monitors health care resources Manages the interdisciplinary team to achieve optimal clinical and resource outcomes Works with the SupervisorManager of Case Management to assess plan implement coordinate monitor and evaluate services and outcomes to maximize the health of the patient Principal Accountabilities 1 Manages coordinates and facilitates the care delivered to patients through patientfamily assessment and multidisciplinary collaboration 2 Ensures daily chart review utilization reviews coordination of discharge planning activities and comprehensive clinical documentation in the electronic medical record3 Provides interdisciplinary patient care rounds and identifies and works to resolve quality of care issues barriers to the progression of care and discharge delays4 Formulates coordinates and implements discharge plans and an efficient plan of care to ensure safe timely and effective discharge plan5 Works with the interdisciplinary healthcare team to manage and assist the patient care plan6 Performs variance tracking outcome analysis and identifies problems to assess the effectiveness of the clinical pathways7 Servers as a representative of the department and for the hospital community outreach8 Performs other related duties as assignedrn
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