The Nurse Case Manager IHR reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
- Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance.
- Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer and discharge.
- Monitors patient and family satisfaction.
- Responds to questions and complaints from patients, family members, and payors regarding care.
- Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources.
- Provides discharge education and resource referrals to patients.
- Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.