• Case Manager

    Posted Date 1 month ago(6/15/2018 9:36 AM)
    ID
    2018-4447
    Type
    Full-Time
    Shift
    7.5 Hour
    Category
    Licensed / Certified / Registered Professions
    Shift Details
    7.5hr 9am - 5pm w-variable shifts possible as necessary
    Primary Location
    CPH Main Campus
    City
    Potsdam
    Education: Required Level
    Associate's Degree
    Education: Preferred Level
    Bachelor's Degree
    Education: Required Field
    Associate Degree and/or diploma program in nursing.
    Education: Preferred Field
    Bachelor of Science in Nursing
    Licensure / Certification (Text Only)
    Required: Current NYS licensure as an RN |   | Preferred: Certification in Case Management
  • Job Summary

    Provides leadership and accountability for case management/social work staff. Identifies opportunities to improve the internal/external world class customer service, and outcome metrics within quality management. Coaches and mentors case management staff to increase knowledge, practice, efficiency, while striving for excellence with the services they provide resulting in desired outcomes/metrics. Assists in the facilitation and coordination of the hospital-wide patient safety/quality initiatives.  Uses skilled interventions, (objective and subjective), clinical best practice knowledge and collaboration with the patient, physician, and multidisciplinary treatment team to plan care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless transition of patients through medically appropriate levels of care in accordance with licensure, regulatory scope and standards, established hospital polices, and procedures in a patient and family centered manner. Demonstrates flexibility and agility to meet the complex, dynamic healthcare environment while providing world class customer service to patients, families, internal and external customers of the organization.

    Core Responsibilities

    Supervision: Provides leadership and accountability for case management/social work staff. Identifies opportunities to improve the internal/external world class customer service, and outcome metrics within quality management. Coaches and mentors case management staff to increase knowledge, practice, efficiency, while striving for excellence with the services they provide resulting in desired outcomes/metrics.

     

    Collaboration: Integrates patient information from social worker, physician and other members of the healthcare team to collaboratively determine potential and actual risks to recovery and the next level of care. Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payer, agencies to eliminate barriers to efficient delivery of care in the appropriate setting.

     

    Planning: Accountable for developing and coordinating the implementation of a safe and timely discharge plan and alternative plan following evidence based practice.

     

    Assessment: Confers with attending physician/LIP as appropriate to make determination about the medical necessity for admission or continued hospital stay. Performs assessment to determine patient care needs during the acute phase of illness and post discharge needs.

     

    Coordination/Facilitation: Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes within a target LOS.

     

    Documentation: Documents patient interventions and outcomes in the medical record in a timely and accurate manner.

     

    Regulation: Uses the Physician Advisor per protocol for complex issues related to physician practices and utilization review.

     

    Required Experience:

     

    Required: 5 years’ experience working in an acute care setting

                                                    

    Preferred: Experience as a community health nurse or case manager    

     

    EOE

     

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