- Interviews patients/families to obtaininformation about social, emotional, and financial factors whichmay impact health status both prior to, and after, discharge andassess the patient's current formal and informal support system aswell as available benefits andresources.
- Works with the CMII orCMIII to develop and monitor the patient's plan of care to ensureeffectiveness and appropriateness of services.
- Coordinates/facilitates patient care progression throughout thecontinuum of care in an efficient and cost-effectivemanner.
- Serves as resource, provides support,and acts as an advocate on behalf of the patient related totreatment decisions and end of life issues.
- Closely monitors patient length of stay andcommunicates/collaborates with appropriate interdisciplinary teammembers to remove barriers and expeditedischarge.
- Identifies and escalates local andsystem barriers that are impeding diagnostic or treatment progressand issues related to quality and risk as appropriate in a timelymanner.
- Works to resolve identified delays todischarge.
- Collaborates with medical staff,nursing staff, and ancillary staff to eliminate barriers toefficient delivery of care in the appropriatesetting.
- Assesses needs for discharge planningand continuing care/resource support following discharge;independently makes recommendations to patients and familiesregarding post-acute level of care needs and optionsincluding:
- AcuteRehabilitation Placement
- Nursing Home orSkilled Nursing placement
- Psychiatric orSubstance Abuse placement
- New Dialysis
- Child/Adult/Domestic Abuse
- Home Health/HospiceReferrals
- Legal issues (adoptions,guardianship)
- Assistance with AdvanceDirectives
- Community Resource needs
- Financial Issues/Fundingoptions
- DME Referrals andCoordination
- Social Determinants of Health
- Ensures appropriatecommunication and updates are provided to the patient/family andmembers of the healthcare team and are documented as necessary toassure continuity of care
- Provide appropriateinterventions which demonstrate knowledge of and sensitivity towardcultural diversity and the religious, developmental, healthliteracy, and educational backgrounds of the patientpopulation
- Provides information and support topatients and families, helping them access needed resources withinthe medical center and community
- Ensures andmaintains plan consensus from patient/family, physician andpayor
- Collaborates with the physician and otherhealth care professionals to promote appropriate use of medicalcenter resources
- Actively participates inMultidisciplinary/Patient Care ProgressionRounds
- Escalates cases as appropriate and perpolicy to Physician Advisors and/or CMDirector
- Documents in the medical record perregulatory and department guidelines
- Assumesresponsibility for professional growth anddevelopment.
- Must have excellent verbal andwritten communication and ability to interact with diversepopulations.
- Must have critical and analyticalthinking skills.
- Must have demonstratedclinical competency.
- Must have ability toMultitask and to function in a stressful and fast pacedenvironment.
- Must have working knowledge ofdischarge planning, utilization management, case management,performance improvement, and managed carereimbursement.
- Must have understanding ofpre-acute and post-acute levels of care and communityresources.
- Must have ability to workindependently and exercise sound judgment in interactions withphysicians, payors, patients and theirfamilies.
- Must have understanding of internaland external resources and knowledge of available communityresources.
- Must have the ability to movearound the hospital to all areas for the majority of the workdaywhile in office the rest of the day; general office and hospitalenvironment.
- Graduate of an accredited school of nursing orBachelor's Degree in Social Work (BSW)required.
- Experience in the clinical or acutecare setting preferred.
- LVN/LPN or LBSW in thestate of employment is required.
-
Care Management
2 weeks ago
CHRISTUS Health Tyler, TX, United StatesProvides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clini ...
-
Care Manager Assistant
6 days ago
Right at Home Beaumont Tyler, United States Full timeWe are looking for people who want to make a positive impact in someone's life · Right at Home Beaumont, an award-winning in-home care and assistance company, is seeking to hire skilled care manager assistants. This will include some supervisory and administrative skills. If you ...
-
Care Manager I
1 week ago
Christus Health Tyler, United StatesSummary: · The Care Manager (CM) I works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. T ...
-
Care Management RN
3 weeks ago
CHRISTUS Health Tyler, TX, United States Full timeProvides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clini ...
-
Care Manager I
1 week ago
Christus Health Tyler, United StatesSummary: · The Care Manager (CM) I works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. T ...
-
Physician - Advisor (Care Management & CDI)
4 weeks ago
Christus Health Tyler, United States· Physician-Advisor(Care Management and CDI) · Physician Advisor - Care Management &CDI · Roles andResponsibilities Overview · The PhysicianAdvisor-Care Management and Clinical Documentation Improvement(PACM) is a full-time administrative physician role serving MotherFrances Hos ...
-
RN Patient Care Manager
5 days ago
LHC New Tyler, United StatesSummary · We are hiring for a Patient Care Manager / Field Registered Nurse Hybrid with Home Health Experience in Tyler. This is a hybrid role where the Patient Care Manager will work in the office half of their time, and spend the rest of their time in the field. · Salary base ...
-
RN Patient Care Manager
5 days ago
LHC New Tyler, United StatesSummary · We are hiring for a Patient Care Manager / Field Registered Nurse Hybrid with Home Health Experience in Tyler. This is a hybrid role where the Patient Care Manager will work in the office half of their time, and spend the rest of their time in the field. · Salary base ...
-
RN Patient Care Manager
5 days ago
LHC Group Tyler, United StatesJob Description · We are hiring for a Patient Care Manager / Field Registered Nurse Hybrid with Home Health Experience in Tyler. This is a hybrid role where the Patient Care Manager will work in the office half of their time, and spend the rest of their time in the field. · Sal ...
-
Physician - Advisor (Care Management & CDI)
3 weeks ago
Christus Health Tyler, United StatesJob Description · Physician-Advisor (Care Management and CDI) · Physician Advisor - Care Management & CDI · Roles and Responsibilities Overview · The Physician Advisor-Care Management and Clinical Documentation Improvement (PACM) is a full-time administrative physician role servi ...
-
Care Manager I
1 week ago
Christus Health Tyler, United States**Summary**: · The Care Manager (CM) I works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharg ...
-
RN Patient Care Manager
3 weeks ago
LHC New Tyler, United StatesSummary · We are hiring for a Patient Care Manager / Field Registered Nurse Hybrid with Home Health Experience in Tyler. This is a hybrid role where the Patient Care Manager will work in the office half of their time, and spend the rest of their time in the field.Salary based on ...
-
Case Manager Foster Care
2 weeks ago
Arrow Child and Family Ministries Tyler, United StatesOverview: · The Case Manager is responsible for the treatment and coordination of services to foster/adopt children and their biological families in conjunction with the foster/adopt family. · Benefits Include: Medical, dental, vision, and supplemental insurance options, includ ...
-
Physician - Advisor (Care Managment & CDI)
4 weeks ago
CHRISTUS Health Tyler, United States Full timePhysician - Advisor (Care Management and CDI)CHRISTUS Mother Frances Hospital - TylerPhysician Advisor - Care Management & CDI · Roles and Responsibilities Overview · The Physician Advisor-Care Management and Clinical Documentation Improvement (PACM) is a full-time administrative ...
-
Animal Care Manager
2 weeks ago
The Humane Society of the United States Murchison, United StatesAnimal Care Manager - Equine, Black Beauty Ranch · Murchison, TX, USA Req #1071 Monday, May 6, 2024 . · The general range for this position is $47, ,000 annually, plus full benefits. Salary offers will be commensurate with experience, qualifications, skills, training and educat ...
-
RRT, Registered Respiratory Therapist
4 days ago
Christus Health Tyler, TX, United States Full timeJob Title: Registered Respiratory Therapist (RRT) at CHRISTUS Trinity Mother Frances in Tyler · Company: CHRISTUS Trinity Mother Frances · Summary: Responsible for providing pulmonary care to critical, non-critical, and chronically ill patients of all ages with minimal supervisio ...
-
RRT, Registered Respiratory Therapist
4 days ago
Christus Health Tyler, TX, United StatesJob Description · Summary: · Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. ...
-
CHRISTUS Health Tyler, United States Full timeSummary: · The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the abi ...
-
RN, Registered Nurse Lead
3 weeks ago
Christus Health Careers Tyler, United States Permanent, Full time· Summary: · Supports and coordinates day-to-day activities of nursing personnel in patient care units, provides direction to Clinical Staff, implements work of assigned units, and coordinates activities with other patient care units and related departments. Provides routine and ...
-
Nursing Manager
3 weeks ago
UT Health Tyler Tyler, Texas, United States PermanentOverview: · Join our team as a full-time, day shift, Med/Surg, Nursing Manager in Tyler, TX. · Fulfilling your purpose begins here: · UT Health Tyler, the flagship hospital of the system, has 502 licensed beds specializing in advanced acute care medicine. Our hospital includes a ...
Care Manager I - Tyler, United States - Christus Health
Description
Summary:
The Care Manager (CM) I works in collaboration with thepatient/family, physicians and multidisciplinary team members toensure patient progression through the continuum of care and todevelop a plan of care for each assigned patient from admissionthrough discharge. The CM is responsible for identifying,initiating and managing optimal patient flow/throughput to enhancecontinuity of care, smooth and safe transitions, patientsatisfaction, patient safety, and length of stay management.Support and expertise are provided through comprehensiveassessment, planning, implementation, and overall evaluation ofindividual patient needs. Care Coordination and Discharge Planningare both responsibilities of this role. The CM assesses andresponds to patient/family needs by coordinating efforts of otherteam members and identifies and resolves barriers that hindereffective patient care. The CM adheres to departmental andorganizational goals, objectives, standards of performance,policies and procedures, and continually assures regulatorycompliance.
Responsibilities:
Requirements:
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
EEO is the law -click below for more information:
We endeavor to make this site accessible to any and allusers. If you would like to contact us regarding the accessibilityof our website or need assistance completing the applicationprocess, please contact us at
