Care Manager Prn-Case Management-Prn

Description

Summary :

The Care Manager (CM) PRN works in collaboration with thepatient / family, physicians, and multidisciplinary team members toensure patient progression through the continuum of care and todevelop a plan of care for each assigned patient from admissionthrough discharge.

The CM is responsible for identifying,initiating, and managing optimal patient flow / throughput to enhancecontinuity of care, smooth and safe transitions, patientsatisfaction, patient safety, and length of stay management.

Support and expertise are provided through comprehensiveassessment, planning, implementation, and overall evaluation ofindividual patient needs.

Care Coordination and Discharge Planningare both responsibilities of this role. The CM assesses andresponds to patient / family needs by coordinating the efforts ofother team members and identifies and resolves barriers that hindereffective patient care.

The CM adheres to departmental andorganizational goals, objectives, standards of performance,policies, and procedures, and continually assures regulatorycompliance.

Responsibilities :

• Meets expectations of the applicableOneCHRISTUS Competencies : Leader of Self, Leader of Others, orLeader of Leaders.
• Interviewspatients / families to obtain information about social, emotional,and financial factors which may impact health status both prior to,and after, discharge and assess the patient’s current formal andinformal support system as well as available benefits andresources.
• Works with the CMII or CMIII todevelop and monitor the patient’s plan of care to ensureeffectiveness and appropriateness of services.
• Coordinates / facilitates patient care progression throughout thecontinuum of care in an efficient and cost-effectivemanner.
• Serves as resource, provides support,and acts as an advocate on behalf of the patient related totreatment decisions and end of life issues.
• Closely monitors patient length of stay andcommunicates / collaborates with appropriate interdisciplinary teammembers to remove barriers and expeditedischarge.
• Identifies and escalates local andsystem barriers that are impeding diagnostic or treatment progressand issues related to quality and risk as appropriate in a timelymanner.
• Works to resolve identified delays todischarge.
• Collaborates with medical staff,nursing staff, and ancillary staff to eliminate barriers toefficient delivery of care in the appropriatesetting.
• Assesses needs for discharge planningand continuing care / resource support following discharge;independently makes recommendations to patients and familiesregarding post-acute level of care needs and optionsincluding :
• Acute RehabilitationPlacement
• Nursing Home or Skilled Nursingplacement
• Psychiatric or Substance Abuseplacement
• New Dialysis
• Child / Adult / Domestic Abuse
• Home Health / HospiceReferrals
• Legal issues (adoptions,guardianship)
• Assistance with AdvanceDirectives
• Community Resource needs
• Financial Issues / Fundingoptions
• DME Referrals andCoordination
• Social Determinants of Health
• Ensures appropriate communication and updatesare provided to the patient / family and members of the healthcareteam and are documented as necessary to assure continuity ofcare.
• Provide appropriate interventions whichdemonstrate knowledge of and sensitivity toward cultural diversityand the religious, developmental, health literacy, and educationalbackgrounds of the patient population.
• Provides information and support to patients and families, helpingthem access needed resources within the medical center andcommunity.
• Ensures and maintains planconsensus from patient / family, physician, andpayor.
• Collaborates with the physician andother health care professionals to promote appropriate use ofmedical center resources.
• Activelyparticipates in Multidisciplinary / Patient Care ProgressionRounds.
• Escalates cases as appropriate and perpolicy to Physician Advisors and / or CMDirector.
• Documents in the medical record perregulatory and department guidelines.
• Assumesresponsibility for professional growth anddevelopment.
• Must have excellent verbal andwritten communication and ability to interact with diversepopulations.
• Must have critical and analyticalthinking skills.
• Must have demonstratedclinical competency.
• Must have ability toMultitask and to function in a stressful and fast pacedenvironment.
• Must have working knowledge ofdischarge planning, utilization management, case management,performance improvement, and managed carereimbursement.
• Must have understanding ofpre-acute and post-acute levels of care and communityresources.
• Must have ability to workindependently and exercise sound judgment in interactions withphysicians, payors, patients and theirfamilies.
• Must have understanding of internaland external resources and knowledge of available communityresources.
• Must have the ability to movearound the hospital to all areas for the majority of the workdaywhile in office the rest of the day, general office and hospitalenvironment.

Requirements :

• One of the following educations isrequired : Certificate, Associate, or bachelor’s degree innursing or Bachelor’s or Master’s degree in SocialWork.
• Experience in the clinical or acute caresetting preferred.
• LVN / LPN, RN, LBSW, LMSW, orLCSW in the state of employment is required.
• BLS preferred.

Work Schedule : Work Type :

Work Type : Per Diem As Needed

Per Diem As Needed

EEO is the law -click below for more information :

https : / / www.eeoc.gov / sites / default / files / 2023-06 / 22-088 EEOC KnowYourRights6.12ScreenRdr.pdf

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