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 and monitors progress toward desired outcomes through assessments and patient records. The role identifies and resolves barriers to effective care and actively participates in discharge planning. The Case Manager integrates company values into daily practice and supports patient safety, quality care, and infection prevention.

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.
• Demonstrate understanding of treatment costs and financial support as they relate to quality and efficiency.
• Demonstrate critical thinking skills, including using logic and reasoning to evaluate alternatives and solve 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 others at all levels of the organization.
• Ability to 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 accurate 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.
• Meet accreditation standards and comply with standards set by the State and accrediting agencies, including 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, and ensure 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.
• May be required to work during inclement weather and other staffing emergencies.

What This Job Offers