Case Manager PRN

ClearSky Health • Mansfield, TX

7d

About The Position

The Case Manager works with physicians and multidisciplinary team members to develop plans of care for assigned patients and monitors patient progress toward desired outcomes through assessments and/or patient records. The role identifies and resolves barriers to effective care and participates actively in discharge planning. The position integrates company values into daily practice and supports quality patient outcomes, length-of-stay management, utilization review, and timely communication with payors, the clinical team, and administration. The Case Manager also supports compliance with accreditation, state, TJC, CMS, safety, and infection prevention standards. Work during inclement weather or other staffing emergencies may be required.

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 evaluate alternative solutions, conclusions, or approaches to problems.
• Know community resources for post-discharge clinical and social needs.
• Know clinical operations and procedures.
• Build 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 and time-management skills.
• Have effective written and verbal communication skills.
• Maintain appropriate confidentiality.
• Work closely and professionally with others at all organizational levels.
• Meet the physical requirements of 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 patient assessment, manual dexterity to operate equipment and a computer keyboard, close vision, and 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, 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.
• Ensure information 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.
• Perform other duties as assigned to support organizational effectiveness.

What This Job Offers