CARE MANAGER II, CASE MANAGEMENT - FULL TIME(10K HIRING INCENTIVE)
Company: Christus Health
Location: Lake Charles
Posted on: September 18, 2024
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Job Description:
Description
Summary:The Care Manager (CM) II works in collaboration with the
patient/family, physicians and multidisciplinary team members to
ensure patient progression through the continuum of care and to
develop a plan of care for each assigned patient from admission
through discharge. The CM is responsible for identifying,
initiating and managing optimal patient flow/throughput to enhance
continuity of care, smooth and safe transitions, patient
satisfaction, patient safety, and length of stay management.
Support and expertise are provided through comprehensive
assessment, planning, implementation, and overall evaluation of
individual patient needs. Care Coordination and Discharge Planning
are both responsibilities of this role. The CM assesses and
responds to patient/family needs by coordinating efforts of other
team members and identifies and resolves barriers that hinder
effective patient care. The CM adheres to departmental and
organizational goals, objectives, standards of performance,
policies and procedures, and continually assures regulatory
compliance.Responsibilities:--- Meets expectations of the
applicable One CHRISTUS Competencies: Leader of Self, Leader of
Others, or Leader of Leaders. --- Coordinates the integration of
case management functions into the patient care and discharge
planning processes in collaboration with other hospital
departments, external service organizations, agencies, and
healthcare facilities. --- Coordinates/facilitates patient care
progression throughout the continuum of care in an efficient and
cost-effective manner. --- Serves as resource, provides support,
and advocates on behalf of the patient related to treatment
decisions and end of life issues. --- Closely monitor patient
length of stay in regard to the geometric mean length of stay and
communicate/collaborate with appropriate interdisciplinary team
members to remove barriers and expedite discharge. --- Implements
and monitors the patient's plan of care to ensure effectiveness and
appropriateness of services. --- Identifies and escalates local and
system barriers that are impeding diagnostic, or treatment progress
and issues related to quality and risk as appropriate in a timely
manner. --- Proactively identifies and resolves delays and
obstacles to discharge. --- Uses advanced conflict resolution
skills as necessary to ensure timely resolution of issues. ---
Collaborates with medical staff, nursing staff, and ancillary staff
to eliminate barriers to efficient delivery of care in the
appropriate setting. --- Interviews patients/families to obtain
information about social, emotional, and financial factors which
impact health status to develop comprehensive discharge planning
assessment and care plan. --- Assesses needs for discharge planning
and continuing care/resource support following discharge;
independently makes recommendations to patients and families
regarding post-acute level of care needs and options including: ---
Acute Rehabilitation Placement --- Nursing Home or Skilled Nursing
placement --- Psychiatric or Substance Abuse placement --- New
Dialysis --- Child/Adult/Domestic Abuse --- Home Health/Hospice
Referrals --- Legal issues (adoptions, guardianship) --- Assistance
with Advance Directives --- Community Resource needs --- Financial
Issues/Funding options --- DME Referrals and Coordination ---
Social Determinants of Health --- Initiates discharge planning at
the time of admission and makes post-hospital service referrals
based upon information gathered during assessment and interactions
with physicians, multidisciplinary care team, and payors as
indicated. --- Acts as patient advocate by negotiating for, and
coordinating, resources with payors, agencies, and vendors. ---
Ensures that all elements critical to the plan of care have been
communicated to the patient/family and members of the healthcare
team and are documented as necessary to assure continuity of care.
--- Provide appropriate interventions which demonstrate knowledge
of and sensitivity toward cultural diversity and the religious,
developmental, health literacy, and educational backgrounds of the
patient population. --- Assesses the patient's formal and informal
support system as well as available benefits and/or community
resources. --- Meets directly with patient/family to assess needs
and develop and individualized care plan in collaboration with the
physician. --- Ensures and maintains plan consensus from
patient/family, physician and payor. --- Provides education,
information, direction, and support related to patient's goals of
care. --- Acts as patient advocate to develop treatment plan and
coordinate patient care and to transition patient to the
appropriate next level of care. --- Demonstrates and promotes
respect for the dignity and rights of every patient while adhering
to the safety standards and practices of the organization and the
nursing profession. --- Collaborates with the physician and other
health care professionals to promote appropriate use of medical
center resources. --- Provides information and support to patients
and families, helping them access needed resources within the
medical center and community. --- Actively participates in clinical
performance improvement activities involving length of stay,
resource utilization, avoidable days, cost per case, and
readmissions. --- Measures effectiveness of interventions through
direct communication with post-acute care providers, patients, and
caregivers. --- Promotes individual professional growth and
development by meeting requirements for mandatory/continuing
education and skills competency. --- Actively participates in
Multidisciplinary/Patient Care Progression Rounds. --- Escalates
cases as appropriate and per policy to Physician Advisors and/or CM
Director. --- Documents in the medical record per regulatory and
department guidelines. --- May be asked to assist with special
projects. --- May serve a preceptor or orienteer to new associates.
--- Assumes responsibility for professional growth and development.
--- Must have excellent verbal and written communication and
ability to interact with diverse populations. --- Must have
critical and analytical thinking skills. --- Must have demonstrated
clinical competency. --- Must have the ability to Multitask and to
function in a stressful and fast paced environment. --- Must have
working knowledge of discharge planning, utilization management,
case management, performance improvement, and managed care
reimbursement. --- Must have understanding of pre-acute and
post-acute levels of care and community resources. --- Must have
ability to work independently and exercise sound judgment in
interactions with physicians, payors, patients and their families.
--- Must be understanding of internal and external resources and
knowledge of available community resources. --- Must have the
ability to move around the hospital to all areas for the majority
of the workday while in office the rest of the day, general office
and hospital environment.Requirements:Education/Skills ----
Graduate of an accredited school of nursing (BSN preferred)
required or demonstrated success in CHRISTUS Care Manager I
Position for at least 5 years on top of the required experience in
lieu of education required. -Experience ---- Two or more years
clinical experience with one year in the acute care setting
preferred. -Licenses, Registrations, or Certifications ---- RN in
the state of employment is required for new hires. ---- LBSW
accepted for associates with 5+ years of demonstrated success and
experience in CHRISTUS Care Manager I role. - ---- Certification in
Case Management preferred. ---- BLS preferred.Work Schedule:TBDWork
Type:Full TimeEEO is the law - click below for more information:
-We endeavor to make this site accessible to any and all users. If
you would like to contact us regarding the accessibility of our
website or need assistance completing the application process,
please contact us at (844) 257-6925.
Keywords: Christus Health, Lake Charles , CARE MANAGER II, CASE MANAGEMENT - FULL TIME(10K HIRING INCENTIVE), Executive , Lake Charles, Louisiana
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