Case Manager

10 hours ago

Artesia, United States Artesia General Hospital Full time

Job Summary:

Responsible for the functions of case management and discharge planning.

Essential Values-Based, Leadership and Management Competencies:

Demonstrates competencies in line with the five core values that are the foundation of all activities performed by employees in order to achieve the Mission of Artesia General Hospital

  • Respect:Demonstrates competence in respect for others.
  • Leadership:Demonstrates competence in knowing everyone has a role.
  • Professionalism:Demonstrates competence in the conduct, aims and qualities of health care.
  • Dedication:Demonstrates competence in dedication to Artesia General Hospital.
  • Commitment To Excellence:Demonstrates competence in expecting nothing less than "DOING THE RIGHT THING".
ESSENTIAL FUNCTIONS:
  • The Case Manager is responsible for establishing and maintaining open, effective communication between facility and referring publics, consumers, physicians, and third party payers.
  • Determines Patient medical eligibility, qualifying diagnosis, and determines Medicare/Managed Care eligibility based on skilled services provided.
  • Identifies and plans strategies to reduce in-patient length of stay and resource consumption.
  • Provides patient/ family with information about home health care, skilled nursing facilities, rehabilitation facilities and appropriate providers.
  • Maintains availability to the patient/family as a resource to facilitate communication among providers and to monitor services rendered.
  • Maintains active communication with members of the multidisciplinary care team to effect timely and appropriate patient care and facilitate discharge.
ADDITIONAL RESPONSIBILITIES:
  • As assigned.
KNOWLEDGE/SKILL/ABILITIES:
  • Maintains knowledge of regulatory agencies and managed care entities concerning levels of care, continuity of benefits, and medical necessity guideline.
  • Demonstrates the willingness to research, learn, and obtain knowledge for the performance of the position.
  • Basic computer.
AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.

Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.

Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.

MINIMUM POSITION QUALIFICATIONS:
  • Education -Graduate from an accredited school of nursing; BSN preferred.
  • Work Experience - Five years position-related experience in a healthcare-related field.
  • Training - N/A
  • License/Certification - Current New Mexico Nurse License. Certification in case management preferred.


ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.

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