Case Manager

4 weeks ago

Jefferson City, Missouri, United States MU Health Care Full time
About the Job

MU Health Care is seeking a skilled Case Manager to join our team. As a key collaborator with our service line professionals, you will play a pivotal role in coordinating care and ensuring the appropriate utilization of resources and services.

Job Summary

The Case Manager will assess and screen admissions to promote early transition planning and risk of readmission. They will implement pathways and protocols to mitigate readmission and assist in the development of the plan of care for the delivery of appropriate services for patients/caregivers.

Responsibilities
  • Assess and screen admissions to promote early transition planning and risk of readmission
  • Implement pathways and protocols to mitigate readmission
  • Assist in the development of the plan of care for the delivery of appropriate services for patients/caregivers
  • Counsel, plan, and implement discharge transitions with patients and families considering age-specific needs
  • Arrange/authorize the delivery of appropriate services as agreed to by patient/caregiver
  • Coordinate the course of care delivery to ensure timely provision of services and achievement of outcomes
  • Facilitate and coordinate patient progression along the continuum of care and discharge planning of complex need patients and/or payers
  • Develop individualized plan of care protocols, pathways, and guidelines by service line, diagnosis, social determinants, or special needs
  • Interact with the multidisciplinary team to ensure accurate and high-quality documentation practices, policies, and regulations
  • Monitor the delivery of services for timeliness and appropriateness, adherence to plan, quality, and cost, escalating issues to attending physicians and hospital leadership
  • Collaborate with other providers (physicians, home care agencies, etc.) to discuss patient/caregiver needs and services
  • Participate in developing community relationships
  • Serve as liaison between other providers, the payer, and the physician, providing ongoing education regarding physician documentation requirements and utilization issues
  • Counsel patient and family, provide assessment of biopsychosocial issues, and maintain compliance with mandatory reporting for patient safety issues
  • Work in tandem with legal entities within the organization and outside of the organization in the best interests of the individual patient
  • Prepare interrogatories and testimony to legal entities as needed
Qualifications

Three (3) years of clinical experience, which provides knowledge and understanding of medical terminology, patient diagnoses, treatment protocols, and disease process.

One of the following:

  • Master of Social Work degree, or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) licensure by the Missouri State Committee for Social Workers board
  • Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN
  • Occupational Therapist (OT) licensure by the Missouri Board of Occupational Therapy
  • Speech Language Pathologist (SLP) licensure by the Missouri Commission for Speech-Language Pathologists, and Certificate of Clinical Competency (CCC) certification from American Speech-Language Hearing Association (ASHA)
  • Physical Therapist (PT) licensure by the Missouri Board of Registration for the Healing Arts or PT Compact multi-state privilege
About MU Health Care

MU Health Care is a growing academic health system in mid-Missouri comprised of multiple hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital, and over 90 specialty clinics located throughout the region.

As an MU Health Care employee, you'll be part of an exceptional team committed to our mission of saving and improving lives.

Our core values of inclusion, respect, service, discovery, responsibility, and excellence foster a collaborative work environment where you can grow your career.

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