Care Management Representative
: Job Details :

This nursing position is responsible for providing care coordination, comprehensive discharge planning, daily rounding with interdisciplinary team, utilization review/management, readmission avoidance action plan strategies, care transitions coordination and strategic plans for the Collaborative Practice Groups under the guidance of the Director of Care Management. The Care Management Representative participates in a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates the options and services for a patient s individual health needs under the Scope of Service for the department. Provides linkages, referrals, coordination, and follow-up for identified patients and those who qualify for Health Homes. Coordinates follow up appointments with patient s Primary Care Physician / Patient Center Medical Home/ Health Home based on risk status. Responsible for daily operations to coordinate high quality cost effective care at Saratoga Hospital. Responsibili...Management, Representative, Healthcare, Physician, Patient, Director, Hospital