Senior case manager vs case management specialist

Differences between senior case manager and case management specialist duties and responsibilities

Senior case manager example responsibilities.

• Provide clients support with basic ADL's (shopping, payee services, budgets, managing and attending appointments).
• Negotiate access to medically necessary procedures and treatments for patients in the hospital and/or physician office setting.
• Educate patients on technical and disease management terminology and continue to provide ongoing support and information during their care process.
• Perform concurrent review to assure appropriateness of admission, inpatient/acute care, rehabilitation/SNF status, and discharge using establish InterQual guidelines.
• Facilitate vocational rehabilitation and relate community services.

Case management specialist example responsibilities.

• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
• Provide case management to give emergency financial assistance to veterans and their families during a financial crisis.
• Complete admission, stay and discharge reviews utilizing Interqual criteria to evaluate medical necessity as indicated by corporate standards.
• Fax documents to skil nursing homes and rehabilitation facilities.
• Perform psycho-social management, intervention, advocacy, and referral services for patients and significant others.
• Supervise in educating patients and direct care staff about self-management of chronic illness tailoring instructions to patient's individual circumstances.
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