Case Manager - Eastern Long Island Hospital
About The Position
The Case Manager (CM) provides all aspects of discharge planning and utilization review activities for an identified group of patients. The CM is responsible for assessing the patient’s physical and mental wellness needs, preferences and abilities in planning, directing, implementing, and coordinating a comprehensive discharge plan. The CM works within the interdisciplinary team and oversees the development of coordinated, integrated and individualized care plans and discharge plans. The CM is responsible for coordinating services with other post-acute care providers and community based organizations. The CM assists patients in making informed decisions by acting as their advocate regarding their clinical status and treatment options. CM is responsible for coordinating care that is safe, timely, effective, efficient, and equitable and client centered.
Requirements
- Registered Professional nurse currently licensed in the State of New York
- Recent acute care experience: Med/Surg/ICU
- Critical thinking, ability to multi-task and problem-solve
- Compassionate with teamwork skills
- Excellent verbal and written communication skills
Nice To Haves
- PRI and SCREEN certification (Mandatory upon hire)
- Case Management experience in an acute hospital setting.
- Knowledge of Case Management principles, healthcare management and reimbursement.
- Experience in Utilization Management (InterQual and/or MCG), Performance/Quality Improvement and D/C planning.
Responsibilities
- Addresses the special needs of each age group served and assists in making reasonable accommodations for the hearing/visually impaired, physically challenged or any other patient who may require services.
- Assesses the patient’s physical and mental wellness needs, preferences and abilities in planning, directing, implementing, and coordinating a comprehensive discharge plan.
- Demonstrates appropriate understanding of the needs of patients and visitors for each specific age group.
- Monitors inpatient and outpatient cases for quality of care with focus on aspects of care and indicators.
- Identifies problems that require immediate action.
- Works within the interdisciplinary team and oversees the development of coordinated, integrated and individualized care plans and discharge plans.
- Assists patients in making informed decisions by acting as their advocate regarding their clinical status and treatment options
- Effectively coordinates services with other post-acute care providers and community based organizations
- Coordinates care that is safe, timely, effective, efficient, and equitable and client centered.
- Assures confidentiality of all information.
- Maintains appropriate documentation of all patient care activities.
- Communicates and collaborates effectively with others.
- Serves as a resource for Medical and Hospital staff.
- Provides timely clinical reviews to insurance companies.
- Makes appropriate and timely referrals to insure appropriate continuing care based on needs.
- Monitors patient’s progress toward discharge and communicates issues identified to appropriate members of interdisciplinary team.
- Act as a resource and leader to the interdisciplinary team.
- Maintains professional ties with appropriate outside professional groups.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
