Case Manager

2 weeks ago

Latrobe, Pennsylvania, United States Excela Health Full time
Job Title: Case Manager

Job Summary:

We are seeking a skilled Case Manager to join our team at Excela Health. As a Case Manager, you will play a critical role in coordinating patient care, ensuring seamless transitions between healthcare settings, and promoting positive health outcomes.

Key Responsibilities:

  • Assess patient needs and develop individualized care plans to address their unique requirements.
  • Coordinate with healthcare providers, families, and caregivers to ensure effective communication and collaboration.
  • Monitor patient progress, identify potential issues, and implement interventions to prevent complications.
  • Facilitate transitions between healthcare settings, ensuring a smooth and safe transfer of care.
  • Collaborate with interdisciplinary teams to develop and implement evidence-based care plans.
  • Provide education and support to patients and families to promote self-management and independence.
  • Document patient information and care plans in a timely and accurate manner.
  • Participate in quality improvement initiatives to enhance patient care and outcomes.

Requirements:

  • Graduate of an accredited nursing program.
  • Three (3) years of clinical experience in healthcare or recent case management experience.
  • Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
  • Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.
  • Proficient documentation skills.
  • Knowledge of Payor/Insurance benefits.
  • Functional skills on PC and related software (Microsoft Office).
  • Excellent negotiation skills. Strong analytical, data management, and PC skills.
  • Current working knowledge of utilization management, case management, and discharge planning.
  • Current working knowledge of community resources, post-acute services.

Preferred Qualifications:

  • Recent Acute Care experience.
  • Bachelor's Degree in Nursing.

License, Certification & Clearances:

  • Current licensure to practice as a Registered Nurse in the State of Pennsylvania
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal
  • Case Management Certification preferred.

Supervisory Responsibilities:

This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department.

Position Type/Expected Hours of Work:

Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).

Travel may be expected locally between Independence Health locations.

Equal Employment Opportunity:

Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations.

Disclaimer:

This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

Work Environment:

Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines

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