Case Manager PRN

ClearSky Health • Lancaster, OH

7d

About The Position

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

This is a PRN position providing as-needed support to full-time staff, including holiday and PTO coverage and additional staffing based on patient-care and operational needs. The role may require work during inclement weather and 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.
• Understanding of treatment costs and financial support as they relate to quality and efficiency.
• Critical thinking skills, including using logic and reasoning to evaluate alternative solutions, conclusions, or approaches to problems.
• Knowledge of community resources for post-discharge clinical and social needs.
• Knowledge of clinical operations and procedures.
• Ability to build and maintain proactive relationships with interdisciplinary team members, insurance companies, physicians, referral sources, community service organizations, and health care facilities.
• Ability to maintain quality, safety, and infection prevention standards.
• General computer skills, including data entry, word processing, email, and record management.
• Organizational and time management skills.
• Effective written and verbal communication skills.
• Ability to maintain confidentiality.
• Ability to work closely and professionally with people at all levels of the organization.
• Significant standing and walking over the course of a shift.
• Ability to lift or exert up to 25 lbs.
• Ability to perform patient assessments and documentation requiring visual acuity, acute hearing, manual dexterity to operate equipment and a computer keyboard, close vision, and adjustment of focus.
• May be exposed to bodily fluids.

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 established by the State, The Joint Commission (TJC), and the Centers for Medicare & Medicaid Services (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 the 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.
• Maintain an acceptable driving record, current driver’s license, and insurability.

What This Job Offers