Provides assistance and guidance to Case Managers, and assumes leadership role in absence of Director. Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care. Conducts interdisciplinary care management rounds.
- Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge.
- Monitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed.
- Ensures that appropriate discharge information and instructions are provided to the primary care giver and communicated to the primary physician and/or follow-up care agency.
- Assures patients are transferred to appropriate approved facilities when required.
This position requires providing service to an ill through rehabilitating neonatal through geriatric patient population in a manner that demonstrates an understanding of the functional/developmental age of the individual served.