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Assist in day-to-day operations of the Clinical Case Management department. Takes lead in developing patient discharge plan. Prepares and faxes documents to facilitate discharge planning. Arranges nursing home placement, home health or other services to prepare patients for a safe discharge plan. Validates and maintains records to facilitate preauthorization�s to specific payers. May assist or complete appeals for denials. Activities may include individual and group therapy, crisis intervention, case management, patient advocacy, prevention and education.
Educational Requirements: RN or BS in Social Work
Experience: Two years experience in discharge planing preferred.
SPECIAL QUALIFICATIONS: Clinical knowledge base. Substantial background in Medicare/Medicaid requirements, reimbursement systems and community resources. Ability to build good working relationships with staff members and physicians. Excellent interpersonal skills required serving as facilitator for nursing services in coordinating patient�s efficient move through the care continuum. Will assist in evaluating data for presentation to the Resource Management Committee.
Position Type : Full Time
Shift : Day
227 Mountain Drive
Dahlonega, GA 30533