Inpatient Care Manager II Non Exempt

Franciscan Alliance•Crown Point, IN
•Onsite

About The Position

The Inpatient Care Manager II works with assigned patients to assess, facilitate, plan, and advocate for individual health needs. The role performs admission screening for patients in beds to determine medical necessity and reviews the appropriateness of the care setting, utilization, and care-planning quality. It also facilitates discharge planning during admission and throughout the patient’s stay. The Care Manager coordinates transitions of care with patients, families, hospital multidisciplinary teams, and post-discharge providers. The position develops individualized discharge plans and identifies appropriate follow-up resources while considering insurance, financial resources, the clinical picture, functional capacity, and resource availability to support a safe discharge and continuity of care.

Requirements

  • Associate degree in Nursing.
  • Indiana Registered Nurse (RN) license.

Nice To Haves

  • Bachelor’s degree in Nursing.
  • Certified Case Manager (CCM) certification.
  • Five years of Nursing/Patient Care experience.
  • Two years of Case Management experience.

Responsibilities

  • Maintain accurate, concise, and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization.
  • Serve as a liaison and coordinate transitions of care with the hospital multidisciplinary team, post-discharge providers, and patients and families.
  • Comply with accrediting-body, governmental-agency, and third-party-payer requirements related to discharge planning and mandated reporting.
  • Collaborate with nursing, providers, social workers, and ancillary team members to individualize treatment plans and address patient care needs in pursuit of defined outcomes.
  • Assess patients and develop discharge plans that identify post-discharge needs and appropriate follow-up resources in collaboration with patients, families, and the multidisciplinary care team.
  • Support seamless transitions and continuity of care while minimizing the risk of readmission.
  • Consider insurance, financial resources, clinical status, functional capacity, and resource availability to ensure a safe and appropriate discharge.
  • Perform admission screening for medical necessity and review care-setting appropriateness, utilization, and care-planning quality.

Benefits

  • Eligible employees are provided comprehensive benefit offerings; details are available in the company’s career-site benefits section.
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