Integrated Case Manager (4 of 4)

OpTech•Detroit, MI

53d

About The Position

Our Client is looking for highly experienced candidates with acute inpatient case management and discharge planning experience. The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or treatment team responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health care needs though communication and available resources to promote patient safety, quality of care and cost effective outcomes. Addresses the needs of patients who have experienced a critical event or diagnosis that requires complex management strategies and the extensive use of resources to optimize health outcomes along the care continuum Provides services to patients from ambulatory, inpatient or health plan settings

Requirements

Minimum 5 years of Acute Inpatient Case Management experience (this does NOT include telephonic, utilization management, or therapy experience)
Strong computer skills
Epic EMR experience
Acute discharge planning experience
Recent (within the last two years) acute inpatient case management experience
Typical Case Ratio: 1:21-25 will not meet with each patient, decided based on individual risk factors
Candidates wishing to convert at the end of their assignment will need to have a Bachelor's degree.
Excellent verbal communication and written documentation skills
Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization
Strong problem-solving, analytical, and decision-making skills
Strong computer skills and knowledge
Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles
Knowledge of medical ethics and legal implications related to case management
Understanding of social determinants of health and their impact on a patient's wellbeing
Well versed in facilitating community resources to meet the needs of diverse populations
Strong organizational, planning and implementation skills with the ability to handle multiple complex patient needs simultaneously
Strong sense of compassion with the ability to successfully advocate for patients and their families
Registered Nurse (RN) with a valid, unrestricted State of Michigan license
OR - Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license
Nursing degree or MSW, BLS certification through AHA, current valid MI RN licensure or LMSW with current valid MI licensure

Nice To Haves

Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred

Responsibilities

Conducts a comprehensive assessment of patient and family/caregiver's biomedical, psychological, social and functional needs to gage the potential impact on recovery
Develops personalized patient-centered care plans aimed at optimizing the patient's care experience
Engages patients and their families as part of the care team through advocacy, ongoing communication, health education, identification of resources and service facilitation
Utilizes professional judgment, critical thinking, motivational interviewing and self-management techniques to assist patients in overcoming barriers to goal achievement
Provides counseling and interventions related to treatment decisions and end of life issues including Advanced Care Planning
Provides coordination as necessary to ensure patients seamlessly and safely transition between care settings
Advocates for appropriate delivery of services within the patient's health plan benefit structure
Collaborates with appropriate members of the patient's treatment/care team to co-manage patients with complex medical and social needs
Facilitates interdependent collaborate care conferences
Continually evaluates the patient's response to the care/treatment plan making modifications when necessary
Plans and participates in process improvement activities designed to reduce risk, inclusive of data collection, analysis and follow-up intervention activities
Facilitates interventions in cases involving child abuse and neglect, domestic violence, elder abuse, institutional abuse and sexual assault
Supports department based goals, which contribute to the success of the organization
Performs other duties as assigned