Care Manager - St. Francis Medical Center - Richmond
About The Position
The Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community and governmental resources. Essential Job Functions Assesses constantly for best resource allocation with patient management activities both in hospital and community systems to advocate for cost containment without jeopardizing patient quality efforts. Completes initial and ongoing assessment of the patient and family's response to the diagnosis, living environment and discharge planning needs; Identifies and reports appropriate discharge barriers and avoidable days to promote resolution. Provides assessment for the source and significance of social, psychological, environmental, emotional, and economic factors that may contribute to the health and response to treatment of both inpatients of all ages and documents appropriately in the medical record. Coordinates patient and family interventions with attending physician, patient, family, care managers, and other staff; Develops treatment plan based on the assessment and mutually agreed upon goals with the patient, family and physician. Develops a plan of intervention, which is integrated with the interdisciplinary treatment team to establish continuum of care in congruence with ethical and legal considerations; Advocates, mediates, and negotiates a cohesive plan for maintaining or improving social supports and patient safety. Evaluates the effectiveness of interventions and actions in relation to the intended goals of the discharge plan; Revises intervention strategies and discharge plan as necessary; Identify barriers in service delivery systems and advocate for change; Evaluate patient outcomes and participate in process improvement. Collaborates with interdisciplinary team to enhance quality of care and efficiency: Works collaboratively with the health care team to facilitate the plan of care for inpatients and outpatients, as appropriate. Ensures chart documentation consistently meets the department and hospital standards for accountability and confidentiality; Recognizes legal responsibilities and identifies area of concern to Risk Management and Legal Services; Maintains current knowledge and is familiar with federal and state regulatory guidelines, institutional policies, and payer source policies; Documents interventions timely Stays abreast of community resources available to facilitate safe patient transitions of care. Remains current on clinical advancements related to primary patient population. Proactively seeks to understand areas/roles outside of immediate area or role within department. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Requirements
- BLS Basic Life Support – American Heart Association (required)
- Bachelor Degree in a health care related field
- 1 year of experience in clinical setting, experience with Case Management principles.
- Knowledge of post-acute levels of care, community resources, public assistance systems, Medicaid or Medicare.
Responsibilities
- Assesses constantly for best resource allocation with patient management activities both in hospital and community systems to advocate for cost containment without jeopardizing patient quality efforts.
- Completes initial and ongoing assessment of the patient and family's response to the diagnosis, living environment and discharge planning needs
- Identifies and reports appropriate discharge barriers and avoidable days to promote resolution.
- Provides assessment for the source and significance of social, psychological, environmental, emotional, and economic factors that may contribute to the health and response to treatment of both inpatients of all ages and documents appropriately in the medical record.
- Coordinates patient and family interventions with attending physician, patient, family, care managers, and other staff
- Develops treatment plan based on the assessment and mutually agreed upon goals with the patient, family and physician.
- Develops a plan of intervention, which is integrated with the interdisciplinary treatment team to establish continuum of care in congruence with ethical and legal considerations
- Advocates, mediates, and negotiates a cohesive plan for maintaining or improving social supports and patient safety.
- Evaluates the effectiveness of interventions and actions in relation to the intended goals of the discharge plan
- Revises intervention strategies and discharge plan as necessary
- Identify barriers in service delivery systems and advocate for change
- Evaluate patient outcomes and participate in process improvement.
- Collaborates with interdisciplinary team to enhance quality of care and efficiency
- Works collaboratively with the health care team to facilitate the plan of care for inpatients and outpatients, as appropriate.
- Ensures chart documentation consistently meets the department and hospital standards for accountability and confidentiality
- Recognizes legal responsibilities and identifies area of concern to Risk Management and Legal Services
- Maintains current knowledge and is familiar with federal and state regulatory guidelines, institutional policies, and payer source policies
- Documents interventions timely
- Stays abreast of community resources available to facilitate safe patient transitions of care.
- Remains current on clinical advancements related to primary patient population.
- Proactively seeks to understand areas/roles outside of immediate area or role within department.
Benefits
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees
