Case Manager - Windsor Oakland

Company: Windsor Healthcare of Oakland
Location: Oakland
Posted on: November 26, 2022

Job Description:

Windsor Healthcare of Oakland - Case Manager Principal Responsibilities: CLINICAL--- Case Manager coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication.--- Conducts pre-admission on-site assessments to ensure clinically appropriate admissions in accordance with Federal, State and Company requirements.--- Ensures continuity of care appropriate to meet patient, payor and Company requirements.Case Manager ADMINISTRATIVE--- Supports the overall goals of the Company and the Center.--- Determines resource utilization specific to patient care needs, outcome expectations, payor and Company requirements.--- Participates in negotiating coverage as assigned.--- Ensures exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.--- Attends all Center or Company required inservices and meetings.--- Ensures all documentation necessary for quality case management is maintained according to Federal, State and Company requirements.Case Manager QUALIFICATIONS--- Current licensure in State in which practicing.--- Strong administrative and organizational skills.--- Minimum 2 years experience in case management.--- Bachelors degree in health care field preferred.Case Manager CONSUMER SERVICE--- Presents professional image to consumers through dress, behavior and speech.--- Adheres to Company standards for resolving consumer concerns.--- Ensures that all patient/resident rights are protected.

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