Case Manager - Care Management

Responsibilities

• Coordinates and facilitates interdisciplinary provision of comprehensive, patient-centered, quality health care throughout the continuum for patients with acute and chronic health conditions.
• Fosters achievement of optimal health care outcomes within accepted standards of care.
• Serves as an expert resource to the healthcare team regarding the continuum of care, efficient use of resources, Best Practice protocols, team-based care, quality indicators and improvements, and regulatory requirements.
• Ensures a smooth transition of care between multiple health care environments with planned handoffs.
• Partners with patients and families in identifying health care issues and barriers to self-care in order to set priorities and engage in appropriate interventions.
• Demonstrates cultural agility and employs health literacy guidelines to provide education regarding self-management strategies.
• Utilizes rapid quality improvement cycles to continuously monitor, evaluate, measure, and report progress of interventions and outcomes.
• Paces the case to assure appropriate and fiscally sound care coordination across the continuum.

Qualifications

• Education: Academic degree in nursing (BSN or higher) preferred.
• Experience: Minimum 2 years clinical nursing experience required. Relevant experience in one or more of the following healthcare areas preferred: Coordination of community resources, Care management of diverse patient populations, Ambulatory Care.
• Knowledge: Knowledge of disease management to include diagnostics, treatment and prognosis, community resources and healthcare reimbursement; Knowledge of six core components of case management; Knowledge/Skills: Knowledge of levels of care throughout the health care continuum to include; inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF with an overall understanding of utilization management and resource management; Working knowledge of Care Management models across the continuum; Knowledge of Care Management concepts; Excellent organizational skills; Health literate oral and written communication skills for effective interaction with all members of the patient’s health care team; Knowledge of transitional planning to and from all venues; Ability to determine and access appropriate community resources; Ability to engage patient/family in discussion of health care goals and decisions with attention to cultural and health literacy implications; Ability to adhere to and implement regulations in an effective manner; Must serve as a resource to all team members regarding regulatory issues; Keyboard skills and ability to navigate electronic systems applicable to job functions.
• Licensure: Current applicable state RN licensure. Case management certification preferred.
• Pay Range: USD $54.37 - USD $81.21 /Hr.