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Care Manager

2 months ago


Tyler, Texas, United States Christus Health Full time
Job Summary

The Care Manager PRN collaborates with patients, families, physicians, and multidisciplinary teams to ensure seamless patient progression through the continuum of care. This role is responsible for developing and implementing patient plans of care, identifying and resolving barriers to effective care, and ensuring continuity of care through smooth and safe transitions.

Key Responsibilities
  • Conduct comprehensive assessments of patients' social, emotional, and financial factors that may impact health status.
  • Develop and monitor patient plans of care in collaboration with the multidisciplinary team.
  • Coordinate patient care progression throughout the continuum of care, ensuring efficient and cost-effective use of resources.
  • Serve as a resource and advocate for patients and families, providing support and guidance on treatment decisions and end-of-life issues.
  • Closely monitor patient length of stay and collaborate with the interdisciplinary team to remove barriers and expedite discharge.
  • Identify and escalate local and system barriers that impede diagnostic or treatment progress and quality and risk issues.
  • Work to resolve identified delays to discharge and collaborate with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care.
  • Assess needs for discharge planning and continuing care/resource support following discharge, making recommendations to patients and families regarding post-acute level of care needs and options.
Requirements
  • Certificate, Associate, or Bachelor's degree in nursing or Bachelor's or Master's degree in Social Work.
  • Experience in the clinical or acute care setting preferred.
  • LVN/LPN, RN, LBSW, LMSW, or LCSW in the state of employment required.
  • BLS preferred.
Work Schedule and Type

PRN, Per Diem As Needed.