Job Detail

Ensures collaboration among multiple parties; the patient, family and the multi-disciplinary team (internal and external stakeholders), which may include the payer in an effort to facilitate and coordinate services specific to the patients' needs during an episode of care and/or post-hospitalization. All case manager activities will be client-centric, performed in a proactive manner, require on-going assessment of needs, evaluation of resources, knowledge of associated costs and education as indicated. The case manager is responsible for presenting options in an unbiased fashion to all involved parties and in compliance with HIPAA. Empowerment of the patient or healthcare proxy is expected and maintained so an informed decision regarding continued care needs can be made. Advocacy and education are at the heart of all activities with the basic goal focused on providing best clinical outcomes possible for the patient through evidenced based practice.

Lastly, advocacy is an important aspect in the case manager's role as he/she must take into consideration the patient's ability to safely maintain themselves in the community or when the patient's capacity is in question. The case manager needs to ensure the patient or healthcare proxy has the ability to fully understand the options of care being presented so an informed decision can be made. Also, this could include acting as a mediator between physicians/consultants and families when conflict arises or a change in status occurs that may put up road blocks to a successful transition to the next phase of care.