Care Manager - Rehab Case Management - Roper Hospital - PRN

Roper St. Francis Healthcare • Charleston, SC

15d • Onsite

About The Position

The Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families. They facilitate a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. This role involves assessing for the best resource allocation, advocating for cost containment without jeopardizing patient quality, and coordinating patient and family interventions with the healthcare team. The Care Manager develops and evaluates treatment plans, identifies discharge barriers, and collaborates with the interdisciplinary team to enhance the quality and efficiency of care. They must maintain current knowledge of clinical advancements, community resources, and regulatory guidelines, ensuring timely and accurate documentation.

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.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
• Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
• Social Work
• Care Management
• Ethics
• End of Life Ethics
• Patient Advocacy
• Clinical Supervision
• Microsoft office
• Ability to prioritize many simultaneous demands and tolerate frequent interruptions.
• Attention to detail
• Critical thinking
• Communication with family members
• Conflict resolution
• Active listening
• Relationship building
• Effective problem solving
• Teamwork
• Open to change
• Collaboration
• Communication
• Displays empathy
• Negotiation skills
• Time management
• Prioritization
• Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

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.
• 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, and short- and long-term disability
• Tuition assistance, professional development and continuing education support

What This Job Offers

• Career Level: Mid Level