The Lead Case Manager is responsible for assisting with the daily oversight of the hospital census to ensure effective and timely transitions of care. The Lead assists with the oversight of regulatory compliance processes and staff compliance with policies and procedures.
The Lead develops collegial relationships with the interdisciplinary team leads. The Lead educates case managers regarding health plans and regulatory changes related to transitions of care. This position provides feedback to staff to support well-coordinated care amongst the interdisciplinary team and post-acute providers. The lead monitors the length of stay to assist the team in securing authorization for the patient’s post-acute care through collaboration and communication with the health plan case managers and discharge planners. This position adheres to the CMS condition of Participation for Discharge Planning and other regulatory requirements