Healthcare Patient Care Supervisor
3 weeks ago
Requisition #: 60325
Total hours worked per week: 24-40
SUMMARY
The Patient Care Manager is responsible for overseeing the progression of patient care and ensuring that the care plan is tailored to meet individual patient needs. This role emphasizes the delivery of high-quality, evidence-based services that are both efficient and cost-effective.
ELIGIBILITY REQUIREMENTS
A Bachelor's or Master's Degree in Social Work is required, with preference given to candidates holding an MSW. Limited licensure may be considered.
Candidates must possess a minimum of 3 years of recent patient care experience and demonstrate a strong understanding of hospital operations. Essential skills include effective interviewing, assessment, organizational abilities, and problem-solving capabilities, along with the ability to work independently. The ideal candidate will exhibit excellent time management and prioritization skills.
Knowledge of the Case Management Society of America's standards of practice is essential. Candidates should be eligible to sit for certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM) within two years of employment.
The Patient Care Manager must demonstrate strong communication and interpersonal skills, effective leadership, and negotiation abilities. Patience and tact are crucial when interacting with patients, families, and healthcare team members. This role fosters positive relationships with both internal and external customers.
SPECIFIC DUTIES
1. Uphold the Mission, Vision, and Values of Munson Healthcare.
2. Support the Performance Improvement philosophy of the organization.
3. Promote personal and patient safety.
4. Understand and apply Relationship-Based Care (RBC) principles, meeting expectations outlined in the Commitment To My Co-workers, and support RBC unit action plans.
5. Utilize effective customer service and interpersonal skills consistently.
6. Maintain a working knowledge of utilization management, managed care, and payer issues affecting care delivery.
7. Respond promptly to screening referrals for case management services.
8. Identify suitable community resources for assigned cases and collaborate with patients, families, and multidisciplinary teams to achieve optimal patient outcomes.
9. Confirm admission diagnoses and identify related quality metrics to ensure medical compliance.
10. Advocate for patients by ensuring their healthcare needs are met at the appropriate level of care.
11. Encourage and facilitate patient and family involvement in care and treatment decisions.
12. Educate healthcare team members on accessing and utilizing various levels of care.
13. Identify patients at risk for readmission and refer them for community-based follow-up.
14. Recognize and appropriately respond to readmission or psychosocial risk factors.
15. Consult with physician advisors as needed to address barriers to care progression through appropriate channels.
16. Serve as the primary liaison among physicians, patients, families, payers, external case managers, and the interdisciplinary clinical team.
17. Participate in discharge planning for complex patients to ensure timely discharges and appropriate connections with post-discharge care providers.
18. Collaborate with Post-Acute Coordinators to monitor and facilitate the completion of complex post-acute services.
19. Work with utilization review specialists to stay informed about patient eligibility for admission, continued stay, or discharge readiness according to medical necessity guidelines.
20. Strive to influence clinical and financial outcomes of care positively.
21. Identify and document preventable delays or avoidable days due to failures in care progression processes.
22. Engage in quality improvement initiatives and departmental research as requested by management.
23. Manage resource utilization effectively while guiding patients along the continuum of care.
24. Collaborate with social workers, counselors, and Resource Center coordinators to explore discharge placement options when home discharge is not feasible, focusing on patient and family goals, interdisciplinary recommendations, and financial considerations.
25. Utilize insights from the Program Manager, Director, and Medical Advisor to navigate physician and Resource Management issues.
26. Work with resource center and providers to assess patient eligibility for post-acute services.
27. Assist in the training and orientation of new department employees and students.
28. Perform additional duties and responsibilities as assigned.
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