Case Manager
1 day ago
At Yale New Haven Health, we are seeking a skilled and compassionate Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring high-value patient care that is coordinated, efficient, and aligned with institutional clinical and financial objectives.
Key Responsibilities:- Coordinate and ensure the implementation of the plan of care, utilizing the principles of case management.
- Establish a system for coordinating the care of a patient throughout the continuum of care, linking inpatient care with outpatient care, services, and case management.
- Optimize the efficiency of hospital systems which impact quality and/or length of stay.
- Identify and monitor compliance with documenting variances from established parameters in the clinical pathway or treatment plan.
- Ensure that each patient meets the clinical needs for admission, treatment, and discharge and initiates appropriate follow through with the health care team.
- Assist clinicians in documenting the appropriateness of admissions and continued stays.
- Responsible for Medicare notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials.
- Ensure that an appropriate discharge plan is developed and implemented with the health care team members to include identifying service, treatment, and funding options.
- Link patient and family with the appropriate institutional or community resources, advocating on their behalf for scarce resources, and developing new resources where gaps exist in the service continuum.
- Exhibit awareness of ethical/legal issues concerning patient care and strive to manage situations to reduce risk.
- Minimum of a Baccalaureate degree in a clinically related field.
- Active RN Licensure in Connecticut.
- Recent appropriate nursing experience, theoretical knowledge of the nursing process, case management, and continuity of care.
- Advanced communication and interpersonal skills with all levels of internal and external customers.
- Ability to obtain and interpret information appropriate to patient needs and age.
- Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital.
Yale New Haven Health is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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