Per Diem Case Manager
1 week ago
We are seeking a skilled Per Diem Case Manager to join our team at Mass General Brigham. As a Per Diem Case Manager, you will be responsible for facilitating the coordination of care for patients, from admission through discharge, with a focus on realistic treatment outcomes within the scope of available resources.
Key Responsibilities- Assess patient health and psychosocial needs, conducting assessments per established guidelines.
- Develop a case management plan collaboratively with the interdisciplinary team, patient, and family to maximize healthcare responses, quality, and cost-effective outcomes.
- Communicate and coordinate with members of the interdisciplinary team, payers, and community to minimize fragmentation of services and maximize outcomes.
- Provide education to the interdisciplinary team, patient, and family about treatment options, community resources, insurance benefits, and psychosocial concerns to ensure timely and informed decisions.
- Empower patients and families to problem-solve and achieve desired outcomes, promoting patient self-determination.
- Ensure appropriate use of healthcare services and allocation of resources to improve quality of care and maintain a balance with cost-effective care on a case-by-case basis.
- Identify and provide resources for discharge services, promoting a safe transition to the next most appropriate level of care.
- Develop a discharge plan in collaboration with the healthcare team and family, meeting patient needs and financial requirements.
- Display culturally competent care, identifying patient cultural needs and incorporating them into the discharge plan.
- Provide patient education and support to ensure a smooth transition from the acute setting, through the SRN stay, and to discharge, using established standards.
- Document care in adherence to department standards.
- Adhere to third-party coverage guidelines for each patient situation.
- Complete additional department, organization, or network activities per established objectives.
- Uphold SRN Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence.
- 5 years of related experience.
- Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing, or outpatient setting is required.
- Health plan experience in utilization review and case management will be considered.
- Current, unrestricted license to practice in Massachusetts in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline.
- Certification in Case Management.
- Highly developed communications and interpersonal skills, working with diverse populations.
- Ability to work independently, be self-directed, and contribute as a member of a team.
- Anticipates challenges and develops and implements strategies for addressing them.
- High level of service delivery.
- Ability to prioritize work, meet deadlines, and adapt to changing situations.
- Attention to detail.
Mass General Brigham is a leading healthcare organization dedicated to providing high-quality, safe, and accessible care to patients and communities. We are committed to innovation, collaboration, accountability, respect, and excellence in all aspects of our work.
Benefits- Medical benefits.
- Dental benefits.
- Vision benefits.
- Life insurance.
- Employee assistance programs.
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