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Paris Regional Health - Paris, TX
posted 2 months ago
Full-time
Paris, TX
About the position
The Case Manager RN/LVN position at Paris Regional Health involves assessing, planning, implementing, and evaluating patient needs for discharge planning and utilization review. The role requires coordination with healthcare professionals and family members to ensure effective discharge processes, particularly for patients covered by various insurance plans.
Responsibilities
- Assess patient needs for discharge planning and utilization review.
- Plan and implement discharge strategies in collaboration with healthcare teams.
- Evaluate the effectiveness of discharge plans and make necessary adjustments.
- Coordinate with physicians, social workers, nursing staff, and family members.
- Ensure compliance with Medicare, Medicaid, HMO, and private insurance criteria for coverage.
- Perform additional duties as assigned.
Requirements
- Valid RN or LVN license required.
- Experience in case management or related healthcare field.
- Knowledge of Medicare, Medicaid, and private insurance criteria.
