Case Manager

Description: SHIFT: MON-FRI 8A-5P**MUST have at least 2 years experience Case Care Manager in hospital setting**EPIC and Parachute system experience highly preferredRN license preferredSummary:TheCareManager(CM)IIworksincollaborationwiththepatient/family,physiciansandmultidisciplinaryteammemberstoensurepatientprogressionthroughthecontinuumofcareandtodevelopaplanofcareforeachassignedpatientfromadmissionthroughdischarge.TheCMisresponsibleforidentifying,initiatingandmanagingoptimalpatientflow/throughputtoenhancecontinuityofcare,smoothandsafetransitions,patientsatisfaction,patientsafety,andlengthofstaymanagement.Supportandexpertiseareprovidedthroughcomprehensiveassessment,planning,implementation,andoverallevaluationofindividualpatientneeds.CareCoordinationandDischargePlanningarebothresponsibilitiesofthisrole.TheCMassessesandrespondstopatient/familyneedsbycoordinatingeffortsofotherteammembersandidentifiesandresolvesbarriersthathindereffectivepatientcare.TheCMadherestodepartmentalandorganizationalgoals,objectives,standardsofperformance,policiesandprocedures,andcontinuallyassuresregulatorycompliance.Responsibilities:MeetsexpectationsoftheapplicableOneCHRISTUSCompetencies:LeaderofSelf,LeaderofOthers,orLeaderofLeaders.Coordinatestheintegrationofcasemanagementfunctionsintothepatientcareanddischargeplanningprocessesincollaborationwithotherhospitaldepartments,externalserviceorganizations,agencies,andhealthcarefacilities.Coordinates/facilitatespatientcareprogressionthroughoutthecontinuumofcareinanefficientandcost-effectivemanner.Servesasresource,providessupport,andadvocatesonbehalfofthepatientrelatedtotreatmentdecisionsandendoflifeissues.Closelymonitorpatientlengthofstayinregardtothegeometricmeanlengthofstayandcommunicate/collaboratewithappropriateinterdisciplinaryteammemberstoremovebarriersandexpeditedischarge.Implementsandmonitorsthepatient splanofcaretoensureeffectivenessandappropriatenessofservices.Identifiesandescalateslocalandsystembarriersthatareimpedingdiagnosticortreatmentprogressandissuesrelatedtoqualityandriskasappropriateinatimelymanner.Proactivelyidentifiesandresolvesdelaysandobstaclestodischarge.Usesadvancedconflictresolutionskillsasnecessarytoensuretimelyresolutionofissues.Collaborateswithmedicalstaff,nursingstaff,andancillarystafftoeliminatebarrierstoefficientdeliveryofcareintheappropriatesetting.Interviewspatients/familiestoobtaininformationaboutsocial,emotional,andfinancialfactorswhichimpacthealthstatustodevelopcomprehensivedischargeplanningassessmentandcareplan.Assessesneedsfordischargeplanningandcontinuingcare/resourcesupportfollowingdischarge;independentlymakesrecommendationstopatientsandfamiliesregardingpost-acutelevelofcareneedsandoptionsincluding:AcuteRehabilitationPlacementNursingHomeorSkilledNursingplacementPsychiatricorSubstanceAbuseplacementNewDialysisChild/Adult/DomesticAbuseHomeHealth/HospiceReferralsLegalissues(adoptions,guardianship)AssistancewithAdvanceDirectivesCommunityResourceneedsFinancialIssues/FundingoptionsDMEReferralsandCoordinationSocialDeterminantsofHealthInitiatesdischargeplanningatthetimeofadmissionandmakespost-hospitalservicereferralsbaseduponinformationgatheredduringassessmentandinteractionswithphysicians,multidisciplinarycareteam,andpayorsasindicated.Actsaspatientadvocatebynegotiatingfor,andcoordinating,resourceswithpayors,agencies,andvendors.Ensuresthatallelementscriticaltotheplanofcarehavebeencommunicatedtothepatient/familyandmembersofthehealthcareteamandaredocumentedasnecessarytoassurecontinuityofcare.Provideappropriateinterventionswhichdemonstrateknowledgeofandsensitivitytowardculturaldiversityandthereligious,developmental,healthliteracy,andeducationalbackgroundsofthepatientpopulation.Assessesthepatient sformalandinformalsupportsystemaswellasavailablebenefitsand/orcommunityresources.Meetsdirectlywithpatient/familytoassessneedsanddevelopandindividualizedcareplanincollaborationwiththephysician.Ensuresandmaintainsplanconsensusfrompatient/family,physicianandpayor.Provideseducation,information,direction,andsupportrelatedtopatient sgoalsofcare.Actsaspatientadvocatetodeveloptreatmentplanandcoordinatepatientcareandtotransitionpatienttotheappropriatenextlevelofcare.Demonstratesandpromotesrespectforthedignityandrightsofeverypatientwhileadheringtothesafetystandardsandpracticesoftheorganizationandthenursingprofession.Collaborateswiththephysicianandotherhealthcareprofessionalstopromoteappropriateuseofmedicalcenterresources.Providesinformationandsupporttopatientsandfamilies,helpingthemaccessneededresourceswithinthemedicalcenterandcommunity.Activelyparticipatesinclinicalperformanceimprovementactivitiesinvolvinglengthofstay,resourceutilization,avoidabledays,costpercase,andreadmissions.Measureseffectivenessofinterventionsthroughdirectcommunicationwithpost-acutecareproviders,patients,andcaregivers.Promotesindividualprofessionalgrowthanddevelopmentbymeetingrequirementsformandatory/continuingeducationandskillscompetency.ActivelyparticipatesinMultidisciplinary/PatientCareProgressionRounds.EscalatescasesasappropriateandperpolicytoPhysicianAdvisorsand/orCMDirector.Documentsinthemedicalrecordperregulatoryanddepartmentguidelines.Maybeaskedtoassistwithspecialprojects..Assumesresponsibilityforprofessionalgrowthanddevelopment.Musthaveexcellentverbalandwrittencommunicationandabilitytointeractwithdiversepopulations.Musthavecriticalandanalyticalthinkingskills.Musthavedemonstratedclinicalcompetency.MusthavetheabilitytoMultitaskandtofunctioninastressfulandfastpacedenvironment.Musthaveworkingknowledgeofdischargeplanning,utilizationmanagement,casemanagement,performanceimprovement,andmanagedcarereimbursement.Musthaveunderstandingofpre-acuteandpost-acutelevelsofcareandcommunityresources.Musthaveabilitytoworkindependentlyandexercisesoundjudgmentininteractionswithphysicians,payors,patientsandtheirfamilies.Mustbeunderstandingofinternalandexternalresourcesandknowledgeofavailablecommunityresources.Musthavetheabilitytomovearoundthehospitaltoallareasforthemajorityoftheworkdaywhileinofficetherestoftheday;generalofficeandhospitalenvironment.JobRequirements:Education/SkillsGraduateofanaccreditedschoolofnursing(BSNpreferred)orMastersDegreeinSocialWork(MSW)requiredordemonstratedsuccessinCHRISTUSCareManagerIPositionforatleast5yearsontopoftherequiredexperienceinlieuofeducationrequired.ExperienceTwoormoreyearsclinicalexperiencewithoneyearintheacutecaresettingpreferred.Licenses,Registrations,orCertificationsRN(preferred)orLMSWinthestateofTX isrequired.CertificationinCaseManagementpreferred.BLSpreferredWorkSchedule:8AM-5PMMonday-FridayWorkType:FullTime General Commentsatleast2yearsexperienceasaCaseCareManageratahospitalsettingEPICandParachutesystemexperiencehighlypreferredRNlicensepreferred Position creation reason:Vacant

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