Care Manager
3 weeks ago
Job Summary
The Yale New Haven Health Case Manager is responsible for ensuring high-value patient care that is coordinated, efficient, and aligned with institutional clinical and financial objectives. This role requires a strong understanding of the nursing process, case management, and continuity of care.
Key Responsibilities
- Coordinates and ensures the implementation of the plan of care, utilizing the principles of case management.
- Establishes a system for coordinating the care of a patient throughout the continuum of care, linking the inpatient care with outpatient care, services, and case management.
- Optimizes the efficiency of hospital systems which impact quality and/or length of stay.
- Identifies and monitors compliance with documenting variances from established parameters in the clinical pathway or treatment plan.
- Ensures that each patient meets the clinical needs for admission, treatment, and discharge and initiates appropriate follow through with the health care team.
- Responsible for Medicare notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials.
- Ensures that an appropriate discharge plan is developed and implemented with the health care team's members to include identifying service, treatment, and funding options.
- Links 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.
- Exhibits awareness of ethical/legal issues concerning patient care and strives to manage situations to reduce risk.
Qualifications
- Minimum of a Baccalaureate degree in a clinically related field. R.N. required.
- Minimum of three (3) years of relevant clinical experience.
- 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.
- Advanced assessment and teaching skills.
- Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital.
Additional Information
Keen critical thinking skills. Works well independently and part of a team in a fast-paced environment.
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