Inpatient Care Manager II

Franciscan Alliance•Michigan City, IN

6d•Onsite

About The Position

The Inpatient Care Manager II is responsible for working with assigned patients, including assessing, facilitating, planning, and advocating health needs on an individual basis. This position also performs admission screening for all patients in a bed for medical necessity, reviews for appropriateness of setting, utilization, care planning quality and facilitates discharge planning on admission and concurrent basis. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Schedule: Monday – Friday, 8am - 4:30pm. There is a weekend and holiday rotation (about every 7th weekend and holiday). Maintain accurate, concise and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization. Act as liaison and coordinates with hospital multidisciplinary team, post-discharge providers and patient/family with the transition of care. Comply with all accrediting bodies, governmental agencies, and third-party payer requirements related to discharge planning and mandated reporting. Collaborate with the care team (nursing, provider, social worker, ancillary team members) to individualize treatment plans to address any patient care needs in order to achieve defined goals for improved patient outcomes. Complete patient assessment to develop discharge plans, identifying the post-discharge needs of the patient and target appropriate resources for foll-up care, in collaboration with the patient, family and multidisciplinary care team to make the transition upon discharge seamless as possible for patients' continuum of care, minimizing risk for readmission. Integrating insurance, financial resources, clinical picture, functional capacity, availability of resources to assure a safe appropriate discharge. Work with quality department to improve the quality of care in acute and ambulatory settings. Educate patient and family about the identified care needs, disease specific information and care, post-acute

Requirements

Associate degree in Nursing required
Indiana Registered Nurse (RN) required

Nice To Haves

Bachelor's Degree in Nursing preferred
Certified Case Manager (CCM) preferred
5 years of Nursing/Patient Care experience preferred
2 years of Case Management experience preferred

Responsibilities

Assess, facilitate, plan, and advocate for assigned patients' health needs on an individual basis.
Perform admission screening for medical necessity, appropriateness of setting, utilization, and care planning quality.
Facilitate discharge planning on admission and concurrently.
Maintain accurate, concise, and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization.
Act as a liaison and coordinate with the hospital multidisciplinary team, post-discharge providers, and patient/family for transition of care.
Comply with requirements of accrediting bodies, governmental agencies, and third-party payers related to discharge planning and mandated reporting.
Collaborate with the care team to individualize treatment plans and achieve defined goals for improved patient outcomes.
Complete patient assessments to develop discharge plans, identifying post-discharge needs and targeting appropriate resources.
Integrate insurance, financial resources, clinical picture, functional capacity, and resource availability to ensure a safe and appropriate discharge.
Work with the quality department to improve the quality of care in acute and ambulatory settings.
Educate patients and families about identified care needs, disease-specific information, and post-acute care.