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Clinical Case Manager
2 months ago
The Hospital Case Manager plays a vital role in coordinating patient care within the hospital setting. This position focuses on ensuring that patients receive high-quality, efficient, and cost-effective healthcare services while adhering to all relevant regulations and guidelines.
Key Responsibilities:- Patient Assessment: Conduct comprehensive assessments of patients' medical, social, and psychosocial needs to develop an individualized care plan.
- Care Coordination: Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure that patients receive appropriate and timely care.
- Utilization Review: Monitor and evaluate the appropriateness of services and the utilization of resources to optimize patient outcomes while controlling costs.
- Discharge Planning: Assist in planning and coordinating patient discharges, including arranging for home healthcare, rehabilitation, or other post-acute services as needed.
- Patient Advocacy: Advocate for patients and their families to ensure that their needs and preferences are considered in the care planning process.
- Documentation: Maintain accurate and up-to-date electronic health records (EHR) and documentation of all patient interactions and care plans.
- Compliance: Stay current with healthcare regulations, policies, and guidelines, ensuring that all practices adhere to legal and ethical standards.
- Education: Provide patients and families with information about their conditions, treatment options, and available resources.
- Quality Improvement: Participate in quality improvement initiatives to enhance patient care and outcomes.
- Interdisciplinary Communication: Foster effective communication and collaboration among healthcare team members to optimize patient care.
- Bachelor's degree in Nursing, Social Work, or a related field (Master's degree preferred).
- State licensure or certification as required (e.g., RN, LSW, LCSW).
- Minimum of 2-3 years of experience in case management, preferably in a hospital or healthcare setting.
- Strong clinical assessment skills and knowledge of medical terminology.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Proficiency in using electronic health record (EHR) systems and other healthcare software.
- Knowledge of healthcare regulations, including Medicare and Medicaid guidelines.
- Dedication to patient-centered care and a commitment to advocating for patient needs.
- Strong organizational and problem-solving abilities.
- Competitive salary and benefits package.
- Opportunities for professional growth and advancement.
- Access to ongoing training and development programs.
- Supportive and collaborative work environment.
- Meaningful work that makes a difference in patients' lives.