Case Manager (Full Time)

ClearSky Health•Weatherford, TX

21h

About The Position

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients, monitors care through assessments and/or patient records to ensure progress toward desired outcomes, and identifies and resolves barriers to effective patient care. The role is actively involved in discharge planning and integrates company values into daily practice. The Case Manager coordinates patient care, supports length-of-stay management, conducts utilization reviews, and communicates with payors regarding updates and authorizations. The role documents patient-care coordination, medical necessity, and post-discharge equipment and support needs in the health care record, while supporting compliance with accreditation, safety, and infection prevention standards. The schedule is Monday through Friday. The position may require work during inclement weather or other staffing emergencies.

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, a current driver’s license, and insurability.
Understand treatment costs and financial support as they relate to quality and efficiency.
Demonstrate critical thinking skills, including using logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
Know community resources that address post-discharge clinical and social needs.
Know clinical operations and procedures.
Establish and maintain proactive relationships with internal interdisciplinary team members, insurance companies, physicians, referral sources, community service organizations, and health care facilities.
Maintain quality, safety, and/or infection prevention standards.
Demonstrate general computer skills, including data entry, word processing, email, and record management.
Have effective organizational and time management skills.
Have effective written and verbal communication skills.
Maintain appropriate confidentiality.
Work closely and professionally with others at all levels of the organization.
Meet physical requirements over the course of a shift: significant standing and walking; lifting or exerting up to 25 pounds; possible exposure to bodily fluids; visual acuity for patient assessment and documentation; acute hearing for accurate patient assessment; sufficient manual dexterity to operate equipment and a computer keyboard; close vision; and 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.
Meet accreditation standards and comply with standards set by the state and TJC and CMS accrediting agencies.
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.
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 assigned required trainings.
Perform other duties as assigned to support the organization’s overall effectiveness.