Case Manager PRN

ClearSky Health•Mansfield, TX

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 participates actively in discharge planning. The position integrates company values into daily practice. The Case Manager supports care coordination, utilization review, length-of-stay management, accreditation and regulatory compliance, and communication with payors and the care team. The role also promotes a safe environment for patients, visitors, and staff and performs other duties as assigned.

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, current driver’s license, and insurability.
Understand treatment costs and financial support as they relate to quality and efficiency.
Apply critical thinking and logic to identify strengths and weaknesses of 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.
Demonstrate effective organizational and time-management skills.
Demonstrate effective written and verbal communication skills.
Maintain confidentiality.
Work closely and professionally with others at all levels of the organization.
Meet physical requirements over the course of a shift, including 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 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 patient communication and coordination 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 information is communicated promptly to the clinical team and administration.
Work during inclement weather or other staffing emergencies when required.
Promote a safe environment for patients, visitors, and staff by assessing risks and implementing appropriate precautions.
Comply with approved safety and Infection Prevention standards.
Perform other duties as assigned to support the organization’s overall effectiveness.