Case Management

3 weeks ago

Jay, United States Baptist Health Care Full time
Job Summary

We are seeking a highly skilled and experienced Case Management & Utilization Review Manager to join our team at Baptist Health Care. The successful candidate will be responsible for implementing and supervising the day-to-day operations of the case management, utilization review, and social work programs in the hospital.

Key Responsibilities
  • Directs, coordinates, and provides case management to patients and uses approved discharge planning software to document assessments, interventions, and internal communication.
  • Serves as patient advocate by acting as communication link between the clinical team and external partners.
  • Identifies cases requiring intervention and proceeds as necessary in a timely and effective manner.
  • Facilitates interdisciplinary discharge planning meetings and family meetings.
  • Maintains schedules to ensure adequate staffing for assigned facilities and provides coverage in the case of an emergency.
  • Discusses assessment findings and patient status with physician and/or treatment team to maximize outcomes.
  • Responsible for preventing delayed discharges of observation patients.
  • Completes case management assessment of patients and support systems in order to facilitate the most appropriate and timely transition plan.
  • Interacts, communicates, and intervenes with multidisciplinary healthcare team in a purposeful, goal-directed fashion.
  • Works proactively to maximize the effectiveness of resource utilization.
  • Anticipates, initiates, and facilitates problem resolution around issues of resource use and continued hospitalization and discharge planning.
Requirements
  • Associates Degree in Nursing Required
  • Bachelors Degree in Nursing Preferred
  • Registered Nurse Licensed
  • BLS-American Heart Association Required
  • Bachelors' Degree in Nursing or Professional Nursing Certification in a related field required within one year
About Us

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama.

The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network.

With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

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