Case Manager (Full Time)

ClearSky Health•Weatherford, TX

About The Position

The Case Manager works with physicians and multidisciplinary team members to develop plans of care for assigned patients. The role monitors care through assessments and/or patient records to ensure patients are progressing toward desired outcomes, identifies and resolves barriers to effective patient care, and actively participates in discharge planning. The Case Manager integrates company values into daily practice. The position supports communication and coordination across the care team, utilization review, length-of-stay management, and timely communication with payors regarding updates and authorizations. It also requires documentation of patient activities, medical necessity, and post-discharge equipment and support needs in the health care record. The Case Manager follows applicable accreditation, safety, and infection-prevention standards and completes assigned training. Schedule: Monday through Friday.

Requirements

Relevant bachelor's degree, current state clinical licensure, or four years of relevant experience.
Clinical licensure when required by the state.
Maintain an acceptable driving record, current driver's license, and insurability.
Demonstrate understanding of treatment costs and financial support as they relate to quality and efficiency.
Use critical-thinking skills to assess alternative solutions, conclusions, and approaches to problems.
Knowledge of community resources for post-discharge clinical and social needs.
Knowledge of clinical operations and procedures.
Ability to establish and maintain proactive relationships with interdisciplinary team members, insurance companies, physicians, referral sources, community service organizations, and health care facilities.
Ability to maintain quality, safety, and infection-prevention standards.
General computer skills, including data entry, word processing, email, and record management.
Effective organizational and time-management skills.
Effective written and verbal communication skills.
Ability to maintain confidentiality.
Ability to work closely and professionally with people at all levels of the organization.
Able to meet physical demands over the course of a shift, including significant standing and walking, lifting or exerting up to 25 pounds, and possible exposure to bodily fluids.
Visual acuity for patient assessment and documentation, acute hearing for patient assessment, sufficient manual dexterity to operate equipment and a computer keyboard, and close vision with the ability to adjust focus.

Nice To Haves

Experience in an acute care setting is preferred.

Responsibilities

Communicate, collaborate, and coordinate with team members to provide quality patient care and support positive patient outcomes.
Facilitate communication during interdisciplinary team conferences.
Follow accreditation standards and standards established by the state and accrediting agencies, including TJC and CMS.
Document communication and coordination of patient activities, medical necessity, and post-discharge equipment and support needs in the health care record.
Support and facilitate length-of-stay management and conduct utilization reviews.
Communicate appropriate information to payors for timely updates and authorizations, and ensure outcomes are communicated promptly to the clinical team and administration.
Provide an environment conducive to safety for patients, visitors, and staff; assess safety risks and implement appropriate precautions.
Comply with approved safety and infection-prevention standards.
Complete required training as assigned.
Perform other duties as assigned to support organizational effectiveness.
May be required to work during inclement weather and other staffing emergencies.