Full Time 40 weekly hours, day shift Case Management Responsible for utilization management, case management, and discharge planning. Job Summary As a member of the Cooperative Care Team, collaboratively assesses patient's post-hospital needs, implements discharge planning, addresses psychosocial needs of the patient and/or family on a daily basis and provides consultation to entire health care team. Principal Duties and Responsibilities The following is a summary of the major functions of this individual's job. He or she may perform other duties, both major and minor, which are not mentioned below, and specific functions may change from time to time. 1. Assesses patient's medical condition by review of medical record and consultation with health care team members to determine appropriate options for continuing care and evaluates patient need for counseling and support services making referrals when indicated. 2. Interviews patients and family members to obtain social history relevant to medical problems and discharge planning needs. 3. Participates in formulation of the plan of care, by evaluating appropriate community resources, utilizing socioeconomic status of the patient to ensure that appropriate post-hospital care is arranged in a timely way that satisfies the patient/family and prevents adverse psychological or financial outcome. 4. Counsels every patient and/or family member in their caseload including but not limited to: 1) understanding, accepting and following medical recommendations and 2) alleviating anxieties related to illness, disability or uncertain future. 5. Arranges for appropriate post-hospital care including but not limited to: home health, long-term care in a nursing facility, rehabilitation, sub-acute care, and/or private care givers at home. 6. Determines patient eligibility for assistance and refers to appropriate agencies. 7. Ensures hospital compliance with regulations governing discharges to appropriate levels of care and/or transfers to other hospitals. 8. Consults with physicians hospital staff, and community agencies when requested. 9. Investigates presence of and requirements for programs and services in the community, which can be utilized by patients and/or family members. 10. Recognizes indicators of abuse, neglect and exploitation of adults, children and elders, ensures appropriate reporting to authorities and works in cooperation with protective service agencies to address medical and emotional needs of victims. 11. Develops and maintains good working relationships with Cooperative Care Team, hospital and medical staff, and personnel from community health, welfare and social agencies. 12. Demonstrates knowledge of growth and development and coordinates case management process for the age specific population. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed and independent physicians, and more than 470 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates two joint venture hospitals: the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky with Deaconess Health System based in Evansville, Indiana, and the Baptist Health Rehabilitation Hospital, a 40-bed inpatient rehabilitation facility with Encompass Health, based in Birmingham, Alabama. Baptist Health employs more than 24,000 people in Kentucky and surrounding states. Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health’s employed provider network, Baptist Health Medical Group, has more than 1,820 employed providers offering care in 78 specialties, including approximately 862 physicians and 958 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMINATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.
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Job Type
Full-time
Career Level
Mid Level