Job Summary: Hospital based Case Manager coordinates and manages patient care to ensure continuity of care delivered with compassion, excellence, and reliability. The Case Manager collaborates with the physicians to evaluate, prepare, educate, and refer patients for the next level of care and works closely with ancillary services to assist in arranging placement in the appropriate care setting as well as coordinates a safe and timely discharge plan. The Case Manager performs case management through direct referrals and reviews of medical records. Facilitates and participates in organizational quality improvement activities including treatment plan assessments, discharge planning, and coordination of care.
Minimum Requirements:Bachelor of Science in Nursing preferred, together with a current R.N. license to practice nursing in the State of Michigan.Previous experience in Case Management preferred.Minimally, 3-5 years progressive experience in a clinical acute care setting with current experience relevant to patient population served. Individual must be detail oriented, have computer application experience as well as excellent written/oral communication skills.Knowledge of Medicare, Medicaid and commercial payer regulations preferred
Skills, Talents and Abilities: Must be able to work cooperatively as a member of a team, able to communicate effectively with patients and their families as well to all levels of the hospital staff. Must be flexible, self-motivated, interested in program development and capable of making independent decisions. Ability to be non-judgmental and work with those holding diverse opinions, religions and cultural values. Significant analytical ability is required; must be accurate, concise and detail oriented.
Position Accountabilities: 1.Clinical expertise and critical thinking skills: Provides a competent patient assessment by obtaining and interpreting data, making appropriate decisions based upon knowledge and experience and, if applicable, adapting plans accordingly. Utilizes critical thinking in all interactions in order to identify variances/problems and apply sound decision-making skills. 2.Excellent assessment skills: Displays excellent assessment experience and skills by utilizing evidence based practice knowledge and skilled intervention in order to effectively prioritize and complete comprehensive assessments and facilitate appropriate care coordination. 3.Case management skills with good follow- through:Possesses case management skills to effectively manage all cases per established organizational standards. Facilitates care coordination and ensures continuity of services in order to meet patients, family and staff needs. 4.Strong interpersonal communication skills:Displays active listening and empathetic communication skills with patients, families and staff. Engages and collaborates with patients, families, multi-disciplinary staff and the community in care planning, delivery and discharge. Builds solid relationships, negotiates effectively and works well with individuals of all ages, backgrounds and socioeconomic position.