Case Manager PRN

ClearSky Health • Rio Rancho, NM

8d

About The Position

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. The role monitors care through assessments and/or patient records to ensure patients are progressing toward desired outcomes, identifies and resolves barriers to effective patient care, and actively participates in discharge planning. The position integrates company values into daily practice.

This is a PRN position providing as-needed support to full-time staff, including holiday and PTO coverage and additional staffing support based on patient care and operational needs.

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 in relation to quality and efficiency.
• Use critical thinking and logic to assess alternative solutions, conclusions, and approaches to problems.
• Know community resources for post-discharge clinical and social needs.
• Know clinical operations and procedures.
• Establish 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 appropriate confidentiality.
• Work closely and professionally with people at all levels of the organization.
• Meet the physical requirements of the role, 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 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.
• Meet accreditation standards and adhere to standards set by the state and accrediting agencies, including 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.
• Conduct utilization reviews.
• Communicate appropriate information to payors for timely updates and authorizations, and ensure the outcome is 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 the organization's overall effectiveness.
• May work during inclement weather and other staffing emergencies.

What This Job Offers