Senior Care Manager

4 weeks ago


Colonial Heights VA, United States ChenMed Full time
Job Summary

We're seeking a highly skilled Senior Care Manager to join our team at ChenMed. As a key member of our healthcare team, you will be responsible for enhancing the quality of patient management and satisfaction, promoting continuity of care and cost-effectiveness through the integration of case management, utilization review, and discharge planning.

Key Responsibilities
  • Coordinate the integration of social services and case management functions into patient care, discharge, and home planning processes with other departments, external service organizations, agencies, and healthcare facilities.
  • Conduct concurrent medical record reviews using specific indicators and criteria as approved by medical staff.
  • Act as a patient advocate, investigating and reporting adverse occurrences, and performing staff education related to resource utilization, discharge planning, and psychosocial aspects of healthcare delivery.
  • Evaluate patient satisfaction and quality of care provided.
  • Coordinate the provision of social services to patients, families, and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
  • Facilitate interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education, and identify post-hospital needs.
  • Direct and participate in the development and implementation of patient care policies and protocols to provide advice and guidance in handling special cases or patient needs.
Requirements
  • Thorough knowledge of case management principles, healthcare management, and reimbursement.
  • Ability to convey medical terms and treatment plans so they are understood by patients and their caregivers.
  • General computer knowledge and effective Microsoft Office Products (PowerPoint, Excel, Word, and Outlook) skills, plus the ability to use a variety of other word-processing, spreadsheet, database, e-mail, and presentation software.
  • Ability and willingness to travel locally, regionally, and/or nationwide up to 10% of the time.
  • Spoken and written fluency in English.
  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
  • Ability to plan, implement, and evaluate individual patient care plans.
  • Ability to work as oversight for License Practical Nurse (LPN) for initial assessments, plan of care, and supervisory visits, including proper discharge of a patient from case management.
  • Knowledge of nursing and case management theory and practice.
  • Knowledge of patient care charts and patient histories.
  • Knowledge of community health services and social services support agencies and networks.
  • Proficient in Microsoft Office Suite products, including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail, and presentation software.
  • Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time.
  • Spoken and written fluency in English.
  • Bilingual a plus.
  • Associate degree in Nursing required.
  • Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in home in a related clinical field preferred.
  • A minimum of 2 years' clinical work experience required.
  • A minimum of 1 year of case management experience in community case management experience highly desired.
  • Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired.

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