Case Manager - FT

About the role

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient progress towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in the discharge planning process. This position must integrate company values into daily practice.

Responsibilities

• Communicates, collaborates, and coordinates with team members to provide quality patient care and ensure positive patient outcomes.
• Facilitates communication during interdisciplinary team conferences.
• Responsible for accreditation standards and adheres to all standards set forth by the State and accrediting agencies (TJC and CMS).
• Documents communication, coordination of patient activities, medical necessity, and post-discharge equipment and support needs in the health care record.
• Supports and facilitates length of stay management and conducts utilization reviews.
• Communicates appropriate information for timely updates and authorizations with payors, ensuring outcomes are shared with the clinical team and administration.
• May be required to work during inclement weather and other staffing emergencies.
• Provides a safe environment for patients, visitors, and staff by assessing risks and implementing appropriate precautions.
• Complies with safety and infection prevention standards, including completing required trainings.
• Performs other duties as assigned to support overall organizational effectiveness.

Requirements

• Relevant Bachelor’s degree; OR current state clinical licensure; OR 4 years of relevant experience required.
• Acute care setting experience preferred.
• Clinical licensure required when mandated by state.
• Must maintain an acceptable driving record, current driver’s license, and insurability.

Skills

• Understanding of treatment costs and financial support as they relate to quality and efficiency.
• Critical thinking skills: using logic and reasoning to identify strengths and weaknesses of alternative solutions.
• Knowledge of community resources to meet post-discharge clinical and social needs.
• Knowledge of clinical operations and procedures.
• Ability to establish and maintain proactive relationships with internal interdisciplinary team members, insurance companies, physicians, referral sources, community service organizations, and health care facilities.
• Ability to maintain quality, safety, and infection prevention standards.
• General computer skills, including data entry, word processing, email, and record management.
• Effective organizational and time management skills.
• Strong written and verbal communication skills.
• Ability to maintain confidentiality and work professionally with others at all organizational levels.

Physical Requirements

• A significant amount of standing and walking over the course of a shift.
• Lifting/exerting up to 25 lbs.
• Possible exposure to bodily fluids.
• Visual acuity required for patient assessment and documentation.
• Acute hearing required for accurate patient assessment.
• Sufficient manual dexterity to operate equipment and computer keyboards.
• Close vision and the ability to adjust focus.