Inpatient Case Manager

1 week ago

Dubai, Dubai, United Arab Emirates Health ECareers Full time

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day.
Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program.
Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues.
Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.

Experience

Basic Qualifications:

Minimum two (2) years of experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience.

Education

Associates Degree Nursing.

License, Certification, Registration

Registered Professional Nurse License (Georgia)
Licensed Registered Nurse (Temporary - Georgia)

Additional Requirements

Demonstrated advanced communication and interpersonal skills with all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community.
Ability to collaborate effectively with multidisciplinary healthcare team.
Excellent time management skills with the ability to work successfully in a fast-paced environment. Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load.
Functional knowledge of computers.
Experience with managed health care delivery including Medicare.
Experience in a payer environment highly desirable.
Knowledge of funding, resources, services, clinical standards, and outcomes is preferred.
Complex Case Management Certification preferred.
Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.
Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities.
Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.
Knowledge of healthcare benefits associated with various business lines.

Preferred Qualifications

Minimum five (5) years of clinical nursing experience in a hospital setting.
Minimum five (5) years of professional practice experience in an acute care setting.
Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.
Bachelors Degree in Nursing, Health Care or Masters degree

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Dr. Job is an online platform that connects employers with skilled job seekers, facilitating the search for job opportunities and top talent. Established in 2015. Dr. Job has emerged as the UAE premier job portal, attracting thousands of job seekers every day in UAE.

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Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Device characteristics, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, User-provided data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Non-precise location data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, Device characteristics, Users' profiles, IP addresses, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, User-provided data, Browsing and interaction data, IP addresses

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, Device characteristics, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Probabilistic identifiers, User-provided data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, User-provided data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Device characteristics, IP addresses

Data collected and processed: Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, User-provided data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Non-precise location data, Device characteristics, Browsing and interaction data

Data collected and processed: Device identifiers, Precise location data, IP addresses

Data collected and processed: Device identifiers, Probabilistic identifiers, User-provided data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Device characteristics, IP addresses

Data collected and processed: Device identifiers, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, IP addresses

Data collected and processed: Device identifiers, Probabilistic identifiers, User-provided data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Device characteristics, IP addresses, Privacy choices

Data collected and processed: Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, User-provided data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, User-provided data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Non-precise location data, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, User-provided data, Device characteristics, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses

Data collected and processed: Device identifiers

Data collected and processed: Users' profiles

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: IP addresses

Data collected and processed: Device identifiers, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Non-precise location data, Device characteristics, IP addresses, Privacy choices

Integral Ad Science (incorporating ADmantX)

Data collected and processed: Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Non-precise location data

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, User-provided data, Device characteristics, Browsing and interaction data, IP addresses

Data collected and processed: Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses

Data collected and processed: Device identifiers, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers, Precise location data, Device characteristics, IP addresses

Data collected and processed: Device identifiers, Non-precise location data, User-provided data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Device characteristics, Browsing and interaction data, Users' profiles, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses

Data collected and processed: Device characteristics

Data collected and processed: Non-precise location data, IP addresses

Data collected and processed: Device characteristics, IP addresses

Data collected and processed: Device identifiers, IP addresses

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Probabilistic identifiers, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Authentication-derived identifiers

Data collected and processed: Device identifiers, Non-precise location data, Probabilistic identifiers, Device characteristics, IP addresses

Data collected and processed: Device characteristics

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device characteristics

Data collected and processed: Device identifiers, User-provided data, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Adobe Audience Manager, Adobe Experience Platform

Data collected and processed: Device identifiers, Precise location data, Non-precise location data, Device characteristics, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Probabilistic identifiers, User-provided data, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Non-precise location data, User-provided data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Probabilistic identifiers, Device characteristics, Browsing and interaction data, Users' profiles, IP addresses

Data collected and processed: Device identifiers, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Non-precise location data, Users' profiles, IP addresses, Privacy choices

Data collected and processed: Device identifiers, Probabilistic identifiers, Device characteristics, Browsing and interaction data, IP addresses

Data collected and processed: Non-precise location data, IP addresses

Data collected and processed: IP addresses

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, IP addresses

Data collected and processed: Device identifiers, Non-precise location data, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices, Authentication-derived identifiers

Data collected and processed: Device identifiers

Data collected and processed: Device identifiers, Device characteristics, Browsing and interaction data, IP addresses, Privacy choices

Data collected and processed: Device characteristics, IP addresses, Privacy choices

Marketing Science Consulting Group, Inc.
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Inpatient Case Manager