Outpatient Case Manager Professional
3 days ago
As a member of the Population Health Management (PHM) Team at Wellstar Health System, Inc., the Outpatient Case Manager works collaboratively with patients, providers, and caregivers to deliver intensive, comprehensive case management. The goal is to ensure efficient utilization of services for patients with complex needs, providing optimal care transitions and reducing hospital readmissions.
Core Responsibilities:
- Assessment: Review patient referrals to determine eligibility for case management, performing comprehensive assessments to identify needs and risks.
- Planning: Collaborate with patients, families, physicians, and multidisciplinary teams to develop individualized plans of care addressing high-risk patients' medical, environmental, and psychosocial needs.
- Implementation: Match patients' needs with available resources, utilizing telephonic and face-to-face communication to engage with patients and meet their needs.
- Monitoring/Evaluation: Monitor care through data collection and analysis, evaluating processes to determine the effectiveness of the case management plan in improving quality, access, and cost of care.
Requirements:
- Education: Graduate of an accredited school of nursing with a current Georgia RN license; Bachelor's Degree in Nursing preferred.
- Licenses and Certifications: Reg Nurse (Single State) or RN - Multi-state Compact, Basic Life Support or BLS - Instructor.
- Experience: Minimum 5 years RN clinical experience required; previous experience in case management, hospice, dialysis, heart failure, or ambulatory care preferred.
Skills:
- Knowledge of complex case management roles and processes.
- Excellent customer-focused interpersonal skills for interacting with diverse populations.
- Leadership qualities, including organizational and time management skills, verbal and written communication, problem-solving, decision-making, priority setting, and work delegation.
Estimated Salary: $75,000 - $100,000 per year, based on location and experience.
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