CHOICES Case Manager |
| Location: | Murfreesboro, TN |
| Benefits: | Generous Benefit Package |
| Employment Type: | Full Time |
| Department: | Nursing |
| Description: | Manages and coordinates appropriate home care services from admission to discharge, for patients receiving services under the CHOICES Program. |
| Duties: | - Assists with calls or inquiries from any referral source (hospitals, physicians, patients/family members, etc.) and provides accurate and reliable information regarding the requirements for admission to the CHOICES Progam.
- Obtains required billing information and coordinates prior approval to obtain precertification authorization including any co-payments or deductibles the patient is responsible for on admission, when indicated.
- Provides frequent communication to physicians, visiting staff members and others in efforts to coordinate changes in patient care and assures appropriate follow-up and supporting documentation is done.
- Maintains compliance with all Federal/Medicare/State licensure requirements and assists with preparation and participates in all such surveys. |
| Qualifications: | - Minimum two years of home health experience.
- Working knowledge of the CHOICES Program.
- Computer data entry and word processing skills desirable.
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