Care Manager PRN - Case Management

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 applicable OneCHRISTUSCompetencies : Leader of Self, Leader of Others, or Leader ofLeaders.
• Interviews patients / families to obtaininformation about social, emotional, and financial factors whichmay impact health status both prior to, and after, discharge andassess the patient’s current formal and informal support system aswell as available benefits and resources.
• Works withthe CMII or CMIII to develop and monitor the patient’s plan of careto ensure effectiveness and appropriateness of services.
• Coordinates / facilitates patient care progression throughoutthe continuum of care in an efficient and cost-effectivemanner.
• Serves as resource, provides support, andacts as an advocate on behalf of the patient related to treatmentdecisions and end of life issues.
• Closely monitorspatient length of stay and communicates / collaborates withappropriate interdisciplinary team members to remove barriers andexpedite discharge.
• Identifies and escalates localand system barriers that are impeding diagnostic or treatmentprogress and issues related to quality and risk as appropriate in atimely manner.
• Works to resolve identified delays todischarge.
• Collaborates with medical staff, nursingstaff, and ancillary staff to eliminate barriers to efficientdelivery of care in the appropriate setting.
• Assessesneeds for discharge planning and continuing care / resource supportfollowing discharge; independently makes recommendations topatients and families regarding post-acute level of care needs andoptions including :
• 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 Advance Directives
• Community Resource needs
• FinancialIssues / Funding options
• DME Referrals andCoordination
• Social Determinants of Health
• Ensures appropriate communication and updates are providedto the patient / family and members of the healthcare team and aredocumented as necessary to assure continuity of care.
• Provide appropriate interventions which demonstrate knowledge ofand sensitivity toward cultural diversity and the religious,developmental, health literacy, and educational backgrounds of thepatient population.
• Provides information and supportto patients and families, helping them access needed resourceswithin the medical center and community.
• Ensures andmaintains plan consensus from patient / family, physician, andpayor.
• Collaborates with the physician and otherhealth care professionals to promote appropriate use of medicalcenter resources.
• Actively participates inMultidisciplinary / Patient Care Progression Rounds.
• Escalates cases as appropriate and per policy to Physician Advisorsand / or CM Director.
• Documents in the medical recordper regulatory and department guidelines.
• Assumesresponsibility for professional growth and development.
• Must have excellent verbal and written communication and abilityto interact with diverse populations.
• Must havecritical and analytical thinking skills.
• Must havedemonstrated clinical competency.
• Must have abilityto Multitask and to function in a stressful and fast pacedenvironment.
• Must have working knowledge of dischargeplanning, utilization management, case management, performanceimprovement, and managed care reimbursement.
• Musthave understanding of pre-acute and post-acute levels of care andcommunity resources.
• Must have ability to workindependently and exercise sound judgment in interactions withphysicians, payors, patients and their families.
• Musthave understanding of internal and external resources and knowledgeof available community resources.
• Must have theability to move around the hospital to all areas for the majorityof the workday while in office the rest of the day;

general officeand hospital environment.

Requirements :

One of the following education isrequired :

Certificate,Associate, or bachelor’s degree innursing

• Bachelor’s or Master’s degree inSocial Work
• Experience inthe clinical or acute care setting preferred.
• LVN / LPN, RN, LBSW, LMSW, or LCSW in the state of employment isrequired.
• BLS preferred.

WorkSchedule : WorkType :

WorkType : Per DiemAs Needed

Per DiemAs Needed

EEO is the law - click below for moreinformation :

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

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