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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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