What are the responsibilities and job description for the Case Manager position at AnMed?
The Case Manager is an integral role within the Care Coordination team; a collaborative team that works to facilitate care across care settings in partnership with patients to enhance and support effective, efficient management of health-related needs. The Case Manager assesses care needs, plans, coordinates and evaluates services of patients with the goal of supporting individual patients and their families to access needed resources. The Care Manager coordinates care to optimize the highest achievable level of wellness and/or disease management in the most appropriate care setting. Case Managers focus on five primary areas: population management, patient self-management support, transitions in care, resource connection, and appropriate resource utilization.
Duties & Responsibilities
- Works collaboratively and maintains active communication with the multidisciplinary team including but not limited to, physicians, providers, pharmacists, social workers, behavioral health specialists, and nurses to achieve timely, appropriate patient management.
- Utilizes the RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies.
- Supports efficient resource utilization including length of stay for assigned patients.
- Identifies patients who are high-risk for readmissions and designs the most appropriate acute and post-acute plan of care and/or needed services in conjunction with the multidisciplinary team.
- Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings as indicated.
- Supports, develops and maintains accurate case records of each referred customer/patient.
- Documents fully and accurately; knowledgeable of and utilize accurate computer databases and documentation systems as required.
Qualifications
- BSN and Current South Carolina Registered Nurse License; BSN required, but if no BSN at the time of hire.
- Employees will have 48 months of hire to complete BSN.
- Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a collaborative team member.
- Licensed as a Registered Nurse in South Carolina.
- Minimum three years' clinical experience in one of the following settings: acute care, home care, ambulatory/ physician office, or managed care.
Preferred Qualifications
- Master’s degree in nursing.
- Accredited Case Manager (ACM) or similar certification.
Benefits*
- Medical Insurance & Wellness Offerings.
- Compensation, Retirement & Financial Planning.
- Free Financial Counseling.
- Work-Life Balance & Paid Time Off (PTO).
- Professional Development.
- For more information, please visit: anmed.org/careers/benefits
*This is an every other weekend position*
*Varied benefits packages are available for positions with a 0.6 FTE or higher.