- Educate patient and family on the role of the case manager.
- Assess patient and family needs upon admission through the Discharge Coordination Evaluation (DCE).
- Identify needs based on discharge planning evaluation and begin establishing resources needed to meet patient and family goals.
- Build rapport with patient and family.
- Document discharge plans and anticipated needs in electronic medical record.
- Identify potential discharge date and communicate discharge plan to IDT.
- Incorporate IDT recommendation into discharge plan.
- Make referrals to post discharge agencies according to patient preference.
- Motivate patient and families to actively participate in plan of care.
- Maintain a current and evolving discharge plan on all inpatients, starting within 48 of admission, that meets the needs of the patient and family throughout the course of the hospital stay.
- Ensure patient/family understanding of plan of care and are offer opportunities to participate in decision making.
- Deliver IM letters as per CMS expectations.
- Performs other duties as assigned by supervision.
- Education:
- Requires licensure in nursing or other related healthcare field (Bachelor's preferred)
- Training and Experience:
- BLS required
- Work experience: Minimum two- years clinical experience.
- Demonstration of effective problem-solving techniques including conflict management skills
- Demonstration of excellent oral and written communication skills
- Excellent organizational and record-keeping skills, as well as the ability to manage multiple cases.
- Completes responsibilities in a timely manner through effective organization, setting priorities, delegation, and time management skills
- Job Knowledge:
- Knowledge of Conditions of Participation for Discharge Planning
- Knowledge of WRMC's policies and procedures, regulatory and legal requirements and current health care standards and ensures compliance
- Must be able to report to work fit for duty and free of any adverse effects of illegal drugs, medical marijuana, prescription medication, and/or alcohol.
- Must be able to effectively communicate both orally and in writing with other individuals.
- Must be able to work independently, anticipate and organize workflow, prioritize, and follow through on responsibilities.
- Must be able to skillfully manage a high-volume caseload and to respond effectively to rapidly changing priorities
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Case Manager - Batesville, United States - White River Health
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Description
Job Summary: Position is responsible for implementing, coordinating, and evaluating the physical and mental wellness of hospitalized patients. A case manager is a member of interdisciplinary team, working with the attending physician, specialists, and bedside nurses; the case manager helps to coordinate the patient's transition to post-acute setting. A case manager often works with nursing homes, home health agencies, medical-equipment providers, and insurance companies to seamlessly facilitate a patient's move to the next level of care. A case manager works closely with physicians, nurses, mental health, and other health care professionals, as well as family and friends of patients.Job Duties: