Job Opportunities
Find employment opportunities with Chamber Members!
Upcoming Events
New Members
Emergency & Inpatient Case Manager
Ensures that quality clinical services and financial outcomes are achieved within established time frames for assigned patients. Coordinates the plan of care with the physicians, nurses and other health care professionals from admission through the discharge of the patient. Facilitates judicious use of hospital resources. Monitors physician clinical documentation for content and completeness to assure it accurately reflects and substantiates the patient's diagnosis and procedures. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure requirements and reviews relevant charts for compliance.
Responsible for an initial medical necessity review for potential admitted patients and transition planning. Initial medical necessity reviews are critical to help determine the appropriate initial placement for patients. The ED Case Manager will use an approved screening tool (Interqual or MCG) to help assess the appropriate admission status (inpatient or observation) in order to reduce future changes to status and level of care needed post-ED (e.g. acute, intermediate, critical). Collaborates with ED provider for clinical impression and provides them with the information needed to discuss expected treatment period, appropriate admission status and level of care. Collaborates with ED providers and staff to create patients’ discharge plans including setting up equipment, medications, home health referrals, hospice consults and post-acute facility transfers. Manage high-utilizer patients by addressing psychosocial causes, coordinating primary care, addressing insurance issues, and transportation. Role includes accessing medical records to perform ongoing performance improvement audits.
Ready to grow your business?
Partner with the Grundy Chamber of Commerce and grow your business in your community