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The Case Manager (RN) is a key member of the interdisciplinary team and is responsible for assessment of patient/family psycho-social needs, planning, implementing, procuring services for and evaluating outcomes for patients ranging in age from 18 years to geriatric experiencing medically complex conditions, and/or medical-surgical conditions with rehabilitation and medical needs. Responsibilities include being a patient advocate, providing psycho-social assessment, discharge planning, effective services coordination along the continuum of care and counseling to patients and families. The Case Manager oversees the healthcare delivery and helps facilitate interdisciplinary team decisions. The Case Manager assures that regulations regarding patients’ rights are fulfilled. The Case Manager will strive for comprehensive health care and achievement of quality cost effective outcomes.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
May include, but is not limited to the following:
To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.
Job Specific:
Operations and Support Services:
Job Function
Approximate % of Time
Assesses and coordinates the delivery of care provided by selected members of the healthcare team. Assesses the appropriateness of level of care and utilization of resources (diagnostic testing and clinical procedures). Manages resources to maximize patient outcome. Coordinates services along the continuum. Contact for all payors.
25%
Works collaboratively with interdisciplinary team to develop a comprehensive plan of care and discharge plan based on the assessment and integration of the medical plan utilizing patient’s family and other health care tam members. Coordinates the patient care (value) conferences.
20%
Manages customer’s perceptual outcomes effectively and in a timely manner. Distribute customer satisfaction surveys. Responds to patient and family concern, ensures that each concern is documented, and a resolution is initiated. Provides ongoing education and training to patient and family.
15%
Assess patient’s condition, learning needs and family dynamics based on systematic data collection utilizing assessment skills and tools appropriate to the respective practice area. Complete documentation of outcomes in medical record and soft files.
20%
Conducts performance improvement activities to monitor performance and to continuously improve quality. Participates in gathering and analyzing data for trends and to institute actions to resolve problems promptly.
10%
Remain current with field related literature. Participates in orientation and education of personnel and students
10%
Education
Graduate from a school of Social Work or Nursing.
License/Certification
Current license for the discipline of degree for the state of practice.
Current Basic Life Support (BLS) CPR certification through the American Heart Association.
Both license and certifications must be maintained throughout employment.
Experience
(2) Years’ experience as a case manager in a health care setting preferred.
Ability to project a Professional Image.
Knowledge of regulatory standards, compliance requirements and hospital policies and procedures. Working knowledge and ability to apply professional standards of practice in job situations. Strong organizational and analytical skills.
Working knowledge of computer and software applications used in job functions (order entry, data entry).
SUPERVISORY RESPONSIBILITIES:
N/A
OTHER REQUIREMENTS:
Participates in or conducts company-wide sponsored training to safeguard against improper use and disclosure of patient’s protected health information. Monitors and ensures compliance with company policies, procedures, state and federal regulations and Accreditation Standards.
Company Specific
Professionalism To always maintain the highest standard and regard for others. Keep skills, competencies and required licensures/certifications current; displays mastery over attitude and behavior and pride in appearance. Consistently performs duties to the best of abilities.
Exceptional CareGo above and beyond expectations by providing exceptional care to WOW our customerspatients, family, physicians, and each other.
Respect Treating others as they would like to be treated; valuing others. Acknowledges the worth of others through professional greetings, proper telephone etiquette, patience, and common courtesy.
Fun - Having fun and celebrating small successes in our journey to achieve big. Always demonstrates a positive attitude toward work and devotion to our passion and task at hand.
Teamwork To function as a unit, with common goals, recognizing we can achieve far more as a team than as individuals. Cooperates with co-workers while performing duties leading to everyone being able to achieve success and giving recognition where it is due.
Integrity To always be honest and trustworthy in all our relationships. Demonstrates adherence to a strict moral or ethical code in performance of duties by always seeking to do the right thing.
Accountability - Responsibility of our actions that influence the lives of our customers and fellow workers. Takes ownership of all aspects of duties shown through reliable, timely performance and responsibility.
Responsibility Maintains accountability by doing what is expected or beyond; assuring the appropriate tasks and project items are completed. Takes ownership of all aspects of duties shown through reliable, timely performance and accountability.
Full Time
Social & Legal Services
$82k-99k (estimate)
03/13/2024
05/08/2024
everestrehab.com
DALLAS, TX
100 - 200
Private
JAY QUINTANA
$10M - $50M
Social & Legal Services
The job skills required for Case Manager include Patient Care, Coordination, Health Care, Planning, Customer Service, Social Work, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Case Manager positions, which can be used as a reference in future career path planning. As a Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager. You can explore the career advancement for a Case Manager below and select your interested title to get hiring information.