Case Manager

2 weeks ago

Detroit, United States Net2source Full time

Job Title Integrated Case Manager

Location Detroit Mi 48202

Duration 13 weeks of contract role (wishing to convert at the end of their assignment)

Shift time 8:30AM - 5PM rotating scheduled, weekend availability required.

Schedule Notes:

Full Time Day Shift Position Utilization Management Or Telephonic Case Management Experience

Must Be Able To Integrate Quickly Required: Clinical Background Therapy background will not be considered REQUIRED:

Strong Computer Skills Preferred: Experience In Discharge Planning, Home Health Care, Rehabilitative Medicine, Community Health, Or Managed Care Typical Case Ratio 1:20 ; Will Not Meet with each patient, decided based on individual risk factors Candidates wishing to convert at the end of their assignment will need to have a bachelor’s degree.

Duties:

GENERAL SUMMARY:

  • The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or treatment team responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individuals and familys comprehensive health care needs though communication and available resources to promote patient safety, quality of care and cost effective outcomes. Addresses the needs of patients who have experienced a critical event or diagnosis that requires complex management strategies and the extensive use of resources to optimize health outcomes along the care continuum. Provides services to patients from ambulatory, inpatient or health plan settings

PRINCIPLE DUTIES AND RESPONSIBILITIES:

  • Conducts a comprehensive assessment of patient and family/caregivers biomedical, psychological, social and functional needs to gage the potential impact on recovery.
  • Develops personalized patient-centered care plans aimed at optimizing the patients care experience.
  • Engages patients and their families as part of the care team through advocacy, ongoing communication, health education, identification of resources and service facilitation.
  • Utilizes professional judgment, critical thinking, motivational interviewing and self-management techniques to assist patients in overcoming barriers to goal achievement.
  • Provides counseling and interventions related to treatment decisions and end of life issues including Advanced Care Planning.
  • Provides coordination as necessary to ensure patients seamless and safely transition between care settings.
  • Advocates for appropriate delivery of services within the patients health plan benefit structure.

Skills:

  • Excellent verbal communication and written documentation skills.
  • Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization.
  • Strong problem-solving, analytical and decision-making skills.
  • Strong computer skills and knowledge.
  • Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred.
  • Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
  • Knowledge of medical ethics and legal implications related to case management.

Certifications & Licenses:

  • MSW License
  • AHA BLS

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