Case Manager- FLOAT BMH

Bronson Healthcare•Kalamazoo, MI

3d•Onsite

About The Position

Responsible for moving patients from admission through discharge without disruption to their care through the process of assessment, planning, implementation, coordination monitoring and evaluation of patient caseload. Ensures appropriate care is based on patient needs and the hospital's capabilities. Serves as an advanced clinical resource to patients, families, and staff in the delivery of care to all patients. Works collaboratively with the interdisciplinary team to provide a continuum of comprehensive cost-effective care. Monitors outcomes as a process of continuous improvement. Employees providing direct patient care must demonstrate competencies specific to the population served. Beginning March 31, 2014 forward all new hires will possess BSN upon hire; Master's degree strongly preferred.

Requirements

Minimum of 3 years of experience in an acute care hospital setting
Licensed Registered Nurse in good standing with the State of Michigan
Ability to utilize word processing, spreadsheet, keyboard skills, presentation programs, and other software relevant to the job.
Ability to handle multiple priorities in a stressful environment
• Communicates effectively and efficiently with all levels of healthcare providers both verbally and written
Ability to communicate in a manner that patients and family find understandable, collaborative and supportive
Demonstrates diverse critical global thinking, decision making and problem solving abilities
Effectively communicates, negotiates, influences, uses sound judgment and follows up on situations/issues in a timely, appropriate manner
Demonstrates ability to assess, prioritize, plan, organize, monitor and evaluate patient needs and skill level
Ability to correctly prioritize multiple demands in a stressful situation
Anticipates patient’s needs and works to quickly resolve
Works independently, self-motivated
Utilizes effective negotiation and conflict resolution skills
Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time.
The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.

Nice To Haves

Case Management Certification preferred

Responsibilities

Ensures early assessment and identification of patients at risk for post hospitalization care and services.
Performs further assessment/interview with patient and/or family, relevant health records, and psychosocial aspects of care needs when indicated.
Initiates development and facilitates ongoing review and revision of patient transition care plans with the care coordination team members.
Manages and monitors patient progress and documents according to procedure
Provides ongoing assessment and keeps in contact with patients as they are receiving their care.
Rounds daily on all assigned patients
Identifies readmissions, reasons for readmission, and interventions needed prevent further readmissions and communicates plan to multidisciplinary team.
Works cooperatively with the health care team and takes responsibility for ensuring smooth, efficient transition of care between services.
Drives multidisciplinary team rounds.
Documents clear and specific transitional planning reflective of meeting the patient’s level of care need and choices.
Enacts transitional plan that effectively moves the patient along the care continuum.
Effectively works with the community to identify and allocate post discharge needs.
Evaluates patient need for hospital and extended care resources (Medical Social Work, Pastoral Care, rehabilitation care, long term care, home health care, and community resources) and when appropriate, makes referrals
Acts as a liaison between patients, physicians, ancillary and community services throughout the entire patient experience from diagnosis to post-discharge to ensure effective healthcare management and delivery of transitional services.
Develops, implements, coordinates and communicates the plan of care encompassing acute phase through transition out of acute care.
Builds and maintains strong collegial relationships with physicians, nursing team and leaders to provide quality of care.
Coordinates care using Pathways or Plan of Care and takes responsibility in the ongoing development and revision of Pathways and Plan of Care.
Participates actively in assigned groups and committees.
Ensures appropriate use of community and outpatient resources to adequately support care needs after discharge
Manages and coordinates appropriate discharge plans to ensure LOS appropriate for care needs this includes ensuring and facilitating the achievement of quality, clinical and financial outcomes, negotiating, procuring, and coordinating services and resources needed by the patient/family, and intervening at key points for individual patients.
Evaluates outcomes related to the Case Management process including LOS, Readmission reports, patient satisfaction and financial variances related to case management participation in the patients care.
Reports pertinent variances.
Translates outcomes to principles of healthcare reimbursement
Tracks and trends all outlier LOS data to reduce outlier LOS
House Manager duties include: • Coordinating and overseeing hospital operations – provides clinical and administrative direction in absence of Unit Leaders. • Resolving crises and conflicts. Provides analysis, assessment, and intervention for problems requiring immediate attention. Informs department managers and directors of problems and resolutions. • Investigates problems and complaints from patients, visitors, physicians, and staff. Implements appropriate action and follow-up. • Initial contact for atypical events. Conducts initial assessment of event. Initiates appropriate action, ensuring stabilization of patient. Ensures notification of risk management, CSI, and department manager/director. • Assesses safety concerns and takes action as appropriate. • Coordinates admissions/transfers/patient placement. • Monitors hospital capacity and works with Staffing Office to ensure appropriate staff placement. • Conducts regular rounds of all Hospital Departments/Units. • Maintains utilization review • Monitors infection control data • Leads Safety Check-In meetings on weekends and holidays • Answers calls for Employee Incident Hot Line after hours, on weekends, and holidays. Provides initial triage and directs employee to ER as appropriate. Documents all calls on the Employee injury & Illness Incident Report. Collaborates with ER physician to initiate prophylactic treatment of employees in the event of exposure to communicable diseases. • Participates in After-Care duties when required
Work with multidisciplinary team and providers to create standard care plan on patients. Review care plan and/or behavioral contract with patient as needed.
Assess eligibility of uninsured and underinsured patients for federal, state and community programs to assist funding of medical care. Assist patient with processing paperwork and collaborate with Patient Financial Counselors as needed.
Function as a liaison to community programs, participate in community meetings and maintain a network of appropriate contacts to identify potential resources for meeting patient’s needs