Care Manager

4 weeks ago

Allentown, Pennsylvania, United States ST. LUKE'S UNIVERSITY HEALTH NETWORK Full time
Job Summary

St. Luke's University Health Network is seeking a skilled Care Manager to join our team. As a Care Manager, you will play a critical role in coordinating the discharge planning needs of patients, providing supportive counseling, and facilitating the achievement of desired patient, quality, and financial outcomes.

Key Responsibilities
  • Develop and implement discharge plans that address the psycho-social needs of patients.
  • Collaborate with patients, families, and multidisciplinary teams to design and implement discharge plans.
  • Work closely with care management teams, including RN care managers, assistants, coordinators, and utilization management staff.
  • Facilitate communication among treatment team members and ensure seamless transitions of care.
  • Monitor and mitigate issues and barriers to care, ensuring successful discharge plans.
  • Update care teams and patients/families on discharge plan status and revise plans as necessary.
  • Proactively consider options to keep patients healthy in the outpatient setting, minimizing the risk of readmissions.
  • Issue applicable state/federal regulatory notices as required.
  • Monitor risk assessment using available tools and implement discharge interventions accordingly.
  • Actively address and monitor resource utilization and document delays as appropriate.
  • Identify patients with unplanned readmissions and complete root cause analysis.
  • Coordinate utilization of patient and community resources to facilitate achievement of safe and effective discharge plans.
  • Collaborate with Outpatient Care Managers to identify patients for handover and post-discharge follow-up.
  • Provide supportive counseling and advocacy to assist patients and/or families with adjustment associated with illness, hospitalization, and/or alternative care placement.
  • Facilitate resolution of issues surrounding patient care in a compassionate manner, utilizing team meetings as appropriate.
  • Act as a resource to staff for regulatory issues regarding discharge-planning and psychosocial processes.
  • Use electronic systems to accurately document care manager functions.
Requirements

To be successful in this role, you will need:

  • MSW or equivalent from an accredited school of social work, or a graduate of a professional nursing program with a current license to practice in the State of Pennsylvania or seeking Pennsylvania licensure through reciprocity.
  • At least two years of experience as an RN or Social Worker in an acute hospital setting, with previous care management experience preferred.
  • Strong critical thinking skills, ability to maintain collaborative and effective working relationships, and knowledge of medical terminology.
  • Ability to communicate both verbally and in written forms, and basic computer skills.
What We Offer

St. Luke's University Health Network offers a competitive salary and benefits package, as well as opportunities for professional growth and development.

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