Case Management

POSITION SUMMARY:
The Case Manager is responsible for assessing patient/family psychosocial needs, planning, implementing, procuring services for and evaluating care for patients ranging in age from 18 years to geriatric experiencing medically complex conditions, medical-surgical conditions with rehabilitation and/or wound care needs. Performs concurrent review including admission, continued stay and appropriateness of discharge. Collects information for and as a result of concurrent reviews. Coordinates discharge planning to ensure continuity of care, performing utilization review, and facilitating the patient satisfaction survey process. Participates in functions to coordinate the care of patients with all health team members throughout the facility. Integrates Case Management within the hospital’s primary functions in a manner that contributes to the provision of comprehensive health care and achievement of quality cost effective outcomes.

POSITION SUPERVISORY RESPONSIBILITIES:
None.
REQUIREMENTS
POSITION QUALIFICATIONS:
MINIMUM QUALIFICATIONS:
§Ability to project a Professional Image.
§Knowledge of regulatory standards, compliance requirements and hospital policies and procedures.
§Working knowledge and ability to apply professional standards of practice in job situations.
§Strong organizational, analytical and critical thinking skills.
§Working knowledge of computer and software applications used in job functions. (order entry, data entry).
§Persons who have been found guilty by a court of law of abusing, neglecting, or mistreating individuals in a health care related setting are ineligible for employment in this position.
§Freedom from illegal use of drugs.
§Freedom from use of and effects of use of drugs and alcohol in the workplace.

EDUCATION AND/OR EXPERIENCE:
RN Case Manager: Graduate from an accredited school of nursing with a BSN preferred. Valid Certified Case Manager credential or will obtain during employment. Three (3) years experience in acute hospital case management health care provider or health care company preferred. May substitute experience for degree.
LMSW Case Manager: Graduate from accredited social worker program with a Master’s degree in Social Work (MSW). Valid Certified Case Manager credential or will obtain during employment. Three (3) years experience in acute hospital case management health care provider or health care company.

CERTIFICATES, LICENSES, REGISTRATIONS:
RN Case Manager: A Registered Nurse who is currently licensed to practice by the state. CCM credential preferred. Must maintain current CPR certification throughout employment.
LMSW Case Manager: A licensed Social Worker who is currently licensed to practice by the state. Certified Case Manager (CCM) credential preferred. Must maintain current CPR certification throughout employment.