Case Manager II
- Work Schedule: M-F 7a-7p with potential for weekend rotation based on department need.
- Licensure as a Registered Nurse is REQUIRED
Under general supervision of the Manager of Case Management, the Case Manager provides care coordination and discharge planning for an assigned patient case load. The Case Manager will assess individual patient’s needs, coordinate and implement plans of care and monitor and evaluate outcomes across the continuum of care. II. Principal Responsibilities and Tasks 1. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. • Assesses assigned patients and integrates psycho social assessment within the multidisciplinary team. Works collaboratively with the multi-disciplinary team to determine potential and actual risks to recovery and formulates plan to determine appropriate level of care upon disposition from the acute care setting.
• Accountable for developing and coordinating the implementation of Discharge Plan A and alternative Plan B, including documentation in the medical record
• Multidisciplinary collaboration with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting
• Facilitates timely transition plan
• Active leadership role in the ongoing management of inpatient length of stay and the reduction of readmissions across the organization
• Integrates work with ambulatory and clinic transitional case managers
• Leadership in care management rounds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care
• Develops and implements corrective action plans for resolution of complex problematic issues and elevates to leads as necessary
• Ensures authorizations have been completed in a timely manner
• Collaborates with Utilization Management and synthesizes information in order to reduce avoidable days
• Collaborates with Physician Advisor for complex issues
• Guides physicians in appropriate clinical documentation
• Actively participates in clinical performance improvement activities as assigned
• Builds a network of positive working relationships that advocate for the patient
• Remains current on clinical practice and protocols impacting clinical reimbursement
• Participates in department improvement initiatives
• Serves to orient and educate Case Manager 1s to departmental practices
• Provides oversight and education to case management interns placed in the practice area All your information will be kept confidential according to EEO guidelines. Compensation: Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.
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