Case Manager PRN

ClearSky Health • Waxahachie, TX

1d

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 Case Manager integrates company values into daily practice.

The position supports quality and safety standards, accreditation requirements, length-of-stay management, utilization review, and timely communication with payors and the clinical team. It may require work during inclement weather and other staffing emergencies.

Requirements

• A relevant bachelor’s degree, or 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.
• Demonstrate understanding of treatment costs and financial support as they relate to quality and efficiency.
• Use critical thinking, 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 establish 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.
• Effective 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.

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 requirements established by the state, TJC, and CMS.
• 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 and conduct utilization reviews.
• Communicate information to payors for timely updates and authorizations, and ensure outcomes are communicated promptly to the clinical team and administration.
• Work during inclement weather and other staffing emergencies when required.
• Promote a safe environment 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