Case Manager - Case Management

Licking Memorial Health Systems • Newark, OH

4h

About The Position

Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare
organization, passionately dedicated to improving the health and well-being of
our community. With a history dating back to 1898, LMHS remains a cornerstone
of healthcare excellence, catering to the evolving needs of Licking County. Our
cutting-edge facility provides a comprehensive spectrum of patient care
services, from life-saving emergency medicine to the comforting embrace of home
healthcare, with a unique range of specialized medical services, including
cancer, heart health, maternity, and mental wellness.

When you join the LMHS team, you become a vital part of your local community
Hospital. Working at LMHS is not just a job, it is a unique opportunity to
directly impact the health and well-being of your friends, family, and
neighbors. You will be providing care in a place in which you are personally
connected, where the impact of your work extends beyond the Hospital doors and
into the heart of our community. Our commitment to diversity, equity, and
inclusion ensures that every member of our community is served with respect and
compassion. Join us in our mission – dedicated to patient safety, utilizing
state-of-the-art technology, and with a passionate team of highly trained and
compassionate individuals who strive to improve the health of the community.

Position Summary

The case manager is responsible for individualized management of hospital and
healthcare services necessary and appropriate to the provision of high quality,
cost effective patient care. He or she works with acutely ill and/or high risk
clients ranging in age from newborn to the geriatric population. The Case
Manager develops collaborative, outcome-oriented plans of care for each patient,
acts as a patient advocate and provides mechanisms and support to empower
patients to make responsible healthcare decisions while guiding appropriate
utilization of resources and services to achieve expected outcomes.

Requirements

• Graduate of an accredited school of nursing and licensed in the state of Ohio
• 2 years of clinical experience in an acute care setting
• Critical care/emergency department experience highly desired
• Knowledge of evidenced-based practice and disease management protocols
• Utilization review and or discharge planning experience preferred
• Excellent verbal and written communication skills
• Excellent computer skills
• LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.

Nice To Haves

• Critical care/emergency department experience highly desired
• Utilization review and or discharge planning experience preferred

Responsibilities

• Determines appropriate level of care on admission using hospital approved medical necessity criteria
• Performs patient and care giver assessments to identify pertinent problems/needs
• Organizes assessment data into an individual plan of care, with anticipated outcomes
• Determines continued stay status
• Participates in multidisciplinary rounds
• Participates in patient education
• Tracks and manages potential avoidable hospital days
• Provides clinical information to external providers and managed care organizations
• Assists in discharge planning
• Assists in appeals and denials management

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees