The case manager coordinates care across an episode and/or the continuum for clients with complex problems and diverse needs. The case manager’s focus is to maintain patients at an optimal level of health and to support self-care. Case managers collaborate with physicians, social services, nurses and community agencies to define care options and resources, to plan cost effective quality care and to achieve optimal outcomes.
Specific responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services. Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines. She/he works proactively to coordinate the services of physicians, nurses, and other disciplines to effectively prepare patients for discharge.
The case manager facilitates program development, efficient care delivery processes and quality improvement including: tracking of resource utilization and outcome measures. The case manager is accountable for improving service through the use of cost and quality outcome data, current clinical practices and related research, regulatory requirements and comparative benchmark opportunities.
Customers include: patients, families/visitors, physicians, physician assistants, nurse practitioners, case managers, representatives of third party payers, representative of referring agencies, interdepartmental and intradepartmental staff, vendors, and volunteers.
Child and Dependent Adult Abuse Mandatory Reporter Training is required within 6 months of hire and every 5 years thereafter
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
The job skills required for Nurse Case Manager - Full Time - Days include Case Management, Health care, Commitment, Collaboration, Managed Care, Accountability etc. Having related job skills and expertise will give you an advantage when applying to be a Nurse Case Manager - Full Time - Days. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Nurse Case Manager - Full Time - Days. Select any job title you are interested in and start to search job requirements.