Community Case Manager1

ChenMed•Granby, CT

1d•Hybrid

About The Position

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Case Manager is responsible for enhancing the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent in this role adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. ChenMed is a family-owned, family-oriented organization committed to bringing superior health care to moderate-to-low-income seniors. Our vision is to positively change American healthcare through primary care innovation for the neediest populations. Our mission is to provide a convenient, patient-centered environment that fosters enduring relationships between doctors, staff and patients and delivers superior outcomes and a compassionate experience. We will create a healthcare system specifically for our patients' needs through dedicated doctors, a supportive team, and customized technology, and achieve value through scalable innovation, resourcefulness and accountability. Our patient promise is: You are the reason we are here. Your coordinated healthcare and well-being is our focus. Like a member of our family, we will take care of you in good times and in times of need.

Requirements

Thorough knowledge of case management principles, healthcare management and reimbursement.
Strong written and verbal communication skills; presentation skills.
Ability to convey medical terms and treatment plans so they are understood by patients and their caregivers.
Excellent organizational and time management skills.
Astute problem-solving skills with the ability to multi-task.
Compassionate and empathetic demeanor with the ability to work both independently and in a group/team environment.
General computer knowledge and effective Microsoft Office Products (PowerPoint, Excel, Word and Outlook) skills, plus the ability to use a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
Ability and willingness to travel locally, regionally and/or nationwide up to 10% of the time.
Spoken and written fluency in English.

Responsibilities

Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other departments, external service organizations, agencies and healthcare facilities.
Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff.
Acts as a patient advocate: investigates and reports adverse occurrences and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe.
Conducts review for appropriate utilization of services from admission through discharge.
Evaluates patient satisfaction and quality of care provided.
Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship.
Assists physicians in maintaining appropriate cost, case and desired patient outcomes.
Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
Completes expanded assessment of patients and family needs at time of admission.
Completes psychosocial assessment.
Refers cases where patients and/or family would benefit from counseling to complete complex discharge plan to social worker.
Serves as a patient advocate.
Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.
Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post-hospital needs.
Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling special cases or patient needs.
Performs other duties as assigned and modified at manager’s discretion.