Case Manager PRN

ClearSky Health • Rio Rancho, NM

7d

About The Position

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients, monitors patient progress toward desired outcomes through assessments and/or patient records, identifies and resolves barriers to effective care, and participates actively in discharge planning. The position integrates company values into daily practice and supports patient safety, quality, and efficient care.

This is a PRN position providing as-needed support to full-time staff, including holiday and PTO coverage and additional staffing support based on patient care and operational needs. The role may require work during inclement weather and other staffing emergencies.

Requirements

• A 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, a current driver's license, and insurability.
• Understand treatment costs and financial support as they relate to quality and efficiency.
• Demonstrate critical thinking, using logic and reasoning to evaluate alternative solutions, conclusions, or approaches to problems.
• Know community resources for post-discharge clinical and social needs.
• Know clinical operations and procedures.
• Establish and maintain proactive relationships with interdisciplinary team members, insurance companies, physicians, referral sources, community service organizations, and health care facilities.
• Maintain quality, safety, and infection-prevention standards.
• Demonstrate general computer skills, including data entry, word processing, email, and record management.
• Have effective organizational, time-management, written communication, and verbal communication skills.
• Maintain appropriate confidentiality.
• Work closely and professionally with people at all levels of the organization.

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.
• Meet accreditation standards and comply with standards set by the state, The Joint Commission (TJC), and CMS.
• Document communication, 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.
• Conduct utilization reviews.
• Communicate appropriate information to payors for timely updates and authorizations, and ensure outcomes are promptly communicated 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.
• Perform other duties as assigned to support the organization's effectiveness.

What This Job Offers