Case Manager

19 hours ago

Columbia, South Carolina, United States MU Health Care Full time
Job Title: Case Manager

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 be responsible for assessing and screening admissions to promote early transition planning and risk of readmission. You 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.

Key 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 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 organization and outside of organization in best interests of the individual patient
Requirements:
  • 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, or Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN, or Occupational Therapist (OT) licensure by the Missouri Board of Occupational Therapy, or 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), or Physical Therapist (PT) licensure by the Missouri Board of Registration for the Healing Arts or PT Compact multi-state privilege
Preferred Qualifications:
  • Case management certification or other related specialty
  • Experience in case management, social work, or utilization management work
Benefits:
  • Health, vision, and dental insurance coverage starting day one
  • Generous paid leave and paid time off, including nine holidays
  • Multiple retirement options, including 100% matching up to 8% and full vesting in three years
  • Tuition assistance for employees (75%) and immediate family members (50%)
  • Discounts on cell phone plans, rental cars, gyms, hotels, and more

MU Health Care is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive work environment that values and respects all employees and applicants. We do not discriminate on the basis of race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, or protected veteran status.

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