Care Manager II - Case Management

Description Summary

The Care Manager (CM) II collaborates with the patient/family, physicians, and multidisciplinary team to ensure patient progression through the continuum of care and develops a plan of care. This role coordinates patient care, supports discharge planning, and ensures regulatory compliance.

Responsibilities

• Coordinates case management functions into patient care and discharge planning processes.
• Serves as a resource, providing support and advocating for patients related to treatment decisions and end-of-life issues.
• Maintains patient length of stay and collaborates with interdisciplinary teams to expedite discharge.
• Implements and monitors the patient's plan of care to ensure effectiveness and appropriateness of services.
• Identifies and escalates barriers to diagnostic or treatment progress and issues related to quality and risk.
• Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient care.
• Interviews patients/families to gather information about social, emotional, and financial factors impacting health status.
• Develops and implements discharge plans, making referrals to appropriate post-acute care settings.
• Acts as a patient advocate by negotiating for and coordinating resources with payors, agencies, and vendors.
• Ensures continuity of care by communicating the plan of care to the patient/family and healthcare team.
• Provides education, information, and support related to patient goals of care.
• Demonstrates respect for patient dignity and adheres to safety standards and practices.
• Collaborates with physicians and other healthcare professionals to promote appropriate use of medical center resources.
• Promotes individual professional growth and development through mandatory/continuing education and skills competency.
• Participates in clinical performance improvement activities involving length of stay, resource utilization, avoidable days, cost per case, and readmissions.
• Evaluates effectiveness of interventions through communication with post-acute care providers, patients, and caregivers.
• Assists with special projects and may serve as a preceptor or orienter to new associates.
• Assumes responsibility for professional growth and development.

  Qualifications

  • Graduate of an accredited school of nursing (BSN preferred) or Master's Degree in Social Work (MSW) required or demonstrated success in CHRISTUS Care Manager I position for at least 5 years in lieu of education.
  • Two or more years clinical experience with one year in the acute care setting preferred.
  • RN or LMSW license in the state of employment is required for new hires.
  • LBSW accepted for associates with 5+ years of demonstrated success and experience in CHRISTUS Care Manager I role.
  • Certification in Case Management preferred.
  • BLS preferred.