Case Manager (PRN)

About the role

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. They ensure patients are progressing towards desired outcomes by monitoring care through assessments and/or patient records. They identify and resolve barriers that hinder effective patient care and actively participate in discharge planning.

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 of TJC and CMS.
• Documents communication and 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.
• Conducts utilization reviews.
• Communicates appropriate information for timely updates and authorizations with payors.
• Ensures the outcome of this information is timely communicated to clinical team and administration.
• May be required to work during inclement weather and other staffing emergencies.
• Provides an environment conducive to safety for patients, visitors, and staff.
• Assesses the risks for safety and implements appropriate precautions.
• Complies with appropriate and approved safety and Infection Prevention standards.
• Performs other duties as assigned to support overall effectiveness of the organization.

Requirements

• Relevant Bachelor’s degree; OR Current state clinical licensure; OR 4 years relevant experience required.
• Acute care setting preferred.

Qualifications

• Knowledge of community resources to meet post-discharge clinical and social needs.
• Knowledge of clinical operations and procedures.
• Ability to establish and maintain pro-active relationships with internal interdisciplinary team members, insurance companies, physicians, referral sources, community service organizations and health care facilities.
• Ability to maintain quality, safety, and/or infection prevention standards.
• Demonstrates general computer skills including data entry, word processing, email, and record management.
• Effective organizational and time management skills.
• Effective written and verbal communication skills.
• Ability to maintain proper levels of confidentiality.
• Ability to work closely and professionally with others at all levels of the organization.

Skills

• Understanding of treatment costs and financial support as they relate to quality and efficiency.

Benefits

Not specified.

Pay

Not specified.

Schedule

This position is PRN, as needed to support full time employee vacation coverage, weekends, and occasional weekdays.