RN Case Manager

Updated: March 08, 2024 12:19 AM GMT

Full-time Job in Abrams, Wisconsin

Direct Employers

Abrams, WI

The Clinical Manager is responsible for the coordination of high quality, cost-effective patient care. This position is responsible for the operations and operational flow of the agency including performance of and/or oversight of crucial activities including scheduling, staffing, intake, physician communications, billing and reimbursement process, and overall compliance.
• Understands the criteria for acceptance of patient and reimbursement mechanisms as they relate to the delivery of services to patients. Collaborates with the Agency Director regarding referral acceptance, assists in determining qualification and appropriateness for home care services and establishment of frequencies and utilization for new admissions.
• Works closely with the Agency Director regarding coverage, plan of care, and other reimbursement concerns on both an individual and an agency perspective.
• Schedules initial assessments. Ensures that documentation of initial assessments is complete and meets... More Detail