Case Manager

Southeast Always the Right Career Direction

The Case Manager is responsible for performing case management and discharge planning in the acute care setting. They provide a seamless link between the patient, healthcare team and physician through direct patient contact, comprehensive care planning, implementation of discharge plans and evaluation of plan toward patient goals. The Case Manager collaborates with all components of the healthcare system, managing appropriate use of community resources and post-acute providers to aid in the achievement of quality outcomes, fiscal responsibility and patient satisfaction.

Essential Functions

• Perform assessments/evaluations of patients in acute settings for post hospital care needs.
• Develops plan for post-acute care that meets the needs of the patient as well as their goals of care with a working knowledge of medical necessity as it applies to post-acute care.
• Responsible for implementation of the plan within a timely manner so as not to delay discharge.
• Perform follow-up assessment during patients' continued stay to evaluate for need to modify the discharge plan.
• Perform readmissions assessments on patients that readmit within thirty (30) days of previous discharge for any quality or safety concerns with previous discharge plan or care.
• Independently handle communications with patients, families and medical care team in a manner that decreases conflict.
• Promote informed decision making and empowers patients to be active participants in formulating a plan of care.
• Utilize advanced knowledge to assess the physical, psychological, social, coping, environmental and financial status of patients to screen and identify those at risk for adverse outcomes.
• Collaborate with medical staff and nursing staff regarding assessment changes that would influence discharge planning and promote continuity of care.
• Demonstrates basic knowledge of medical necessity for acute care as it impacts the discharge plan.

Direct Reports (supervised positions)

• None

Qualifications

Minimum Education Required

• Associate in Nursing or Bachelors in Social Work (BSW);
• Current RN license in the state or license with the State Board of Social Work;
• Or licensure with the state board of social work within six (6) months of hire.

Minimum Education Preferred

• Bachelors of Science in Nursing (BSN) or Master's in Social Work (MSW);
• Current RN license in the state or license with the state board of social work

Minimum Experience Required

• Two (2) years acute care experience or
• Community resource or public health experience as it relates to transition of care from a hospital or
• Completion of three hundred (300) or more internship hours at this facility prior to graduation

Minimum Experience Preferred

• Previous hospital based case management experience

Required Skills/Abilities

• Demonstrates advanced computer skills
• Clinical knowledge and experience in the care of patients with multiple and complex diagnoses, disease process, and care needs.
• Ability to prioritize work and meet deadlines.
• Ability to problem solve in a proactive, creative manner, using sound judgment based on factual information and clinical knowledge.
• Ability to develop leadership skills and to serve as a role model for clinical staff.
• Ability to lead and actively participate in multidisciplinary teams.
• Ability to work independently within a team structure.

Shift

Day

Shift Details

8:00 am - 4:30 pm

FTE

1

Type

Regular

Equal Employment Employer

Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.