Case Manager, Full Time Day

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs.

Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions Care Coordination

• Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.

• Monitors all areas of patients’ stay for effective care coordination and efficient care facilitation.

• Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.

• Appropriately refers high risk patients who would benefit from additional support.

• Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.

• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.

• Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.

• Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients’ care throughout the care continuum.

Knowledge/Skills/Abilities/Expectations

• Knowledge of government and non-government payor practices, regulations, standards and reimbursement.

• Knowledge of Medicare benefits and insurance processes and contracts.

• Knowledge of accreditation standards and compliance requirements.

• Ability to demonstrate critical thinking, appropriate prioritization and time management skills.

• Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.

• Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers

• Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.

• Approximate percent of time required to travel: 0%

• Must read, write and speak fluent English.

• Must have good and regular attendance.

• Performs other related duties as assigned.

Qualifications

Education

• Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required) And

• Bachelor’s Degree in nursing or social work: BSN, MSN, BSW or MSW (Preferred)

Licenses/Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of practice Upon Hire (Required) Or

• LCSW- License Clinical Social Worker LCSW or LSW Upon Hire (Required) Or

• CSWCM - Social Work Case Manager Certification Upon Hire (Preferred)

Experience

• 2+ years experience in healthcare setting (Required) And

• Prior Experience in case management, utilization review, or discharge planning (Preferred)