Patient Care Manager II
2 weeks ago
Overview:
The Care Manager II plays a vital role in collaborating with patients, families, physicians, and a multidisciplinary team to ensure seamless patient progression through the healthcare continuum. This position is responsible for developing tailored care plans for each patient from admission to discharge, focusing on optimizing patient flow and enhancing overall care quality. The Care Manager's expertise is essential in conducting comprehensive assessments, planning, implementing, and evaluating individual patient needs, while also managing care coordination and discharge planning effectively.
Key Responsibilities:
• Uphold the standards of OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Facilitate the integration of case management functions into patient care and discharge planning in collaboration with various hospital departments and external organizations.
• Ensure efficient patient care progression throughout the continuum, maintaining cost-effectiveness.
• Act as a resource and advocate for patients regarding treatment decisions and end-of-life considerations.
• Monitor patient length of stay, collaborating with interdisciplinary team members to address barriers and expedite discharge.
• Implement and assess the effectiveness of the patient's care plan, ensuring appropriateness of services.
• Identify and escalate barriers to diagnostic or treatment progress and quality issues in a timely manner.
• Proactively resolve discharge delays and obstacles.
• Utilize advanced conflict resolution skills to address issues promptly.
• Collaborate with medical, nursing, and ancillary staff to enhance care delivery efficiency.
• Conduct interviews with patients and families to gather information impacting health status, leading to comprehensive discharge planning assessments.
• Assess ongoing care needs post-discharge and provide recommendations for various post-acute care options.
• Initiate discharge planning upon admission and make necessary referrals based on assessments and interactions with the care team.
• Advocate for patients by coordinating resources with payors and agencies.
• Ensure effective communication of care plan elements to patients, families, and healthcare team members.
• Provide culturally sensitive interventions that respect the diverse backgrounds of the patient population.
• Evaluate the patient's support system and available community resources.
• Collaborate with physicians to develop individualized care plans and ensure consensus among all parties involved.
• Educate and support patients and families regarding their care goals.
• Participate in clinical performance improvement initiatives focusing on resource utilization and readmissions.
• Document all relevant information in the medical record according to regulatory guidelines.
• May assist with special projects and serve as a mentor to new associates.
• Demonstrate strong verbal and written communication skills and the ability to interact with diverse populations.
• Exhibit critical thinking and analytical skills, demonstrating clinical competency.
• Maintain a comprehensive understanding of discharge planning, utilization management, and community resources.
Qualifications:
- Graduate of an accredited nursing program (BSN preferred) or a Master's Degree in Social Work (MSW) required, or equivalent experience in a similar role.
- Minimum of two years of clinical experience, with at least one year in an acute care setting preferred.
- Current RN or LMSW licensure in the state of employment is required for new hires.
- LBSW accepted for associates with extensive experience in a similar role.
- Certification in Case Management is preferred.
- BLS certification is preferred.
Work Schedule:
TBD
Work Type:
Full Time
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