Case Manager

The Case Manager is responsible for assessing, triaging, resolving or minimizing social-emotional problems, resource deficits and continuing care needs of patient and families served by Gila Regional Medical Center to help them adapt within their community resources, collaborates to develop a discharge plan and facilitate and monitor its implementation. A priority focus in transitioning the patient toward their next phase of care. Significant independent judgement, analytical, problem solving, collaborative skills in order to organize and prioritize multiple tasks to provide patient centered leadership and direction.

ESSENTIAL FUNCTIONS

• Performs comprehensive assessments, plans, implements, coordinates, monitors and evaluates the options and services required to meet the needs of the patient, which must be addressed prior to discharge.
• Develops long and short-term plans with patient/family to address problems identified.
• Attends daily interdisciplinary patient rounds and communicates pertinent information.
• Works collaboratively and maintains active communication with other members of the interdisciplinary team to effect timely and appropriate patient management.
• Proactively identifies and resolves delays and obstacles to discharge.
• Collaborates with the interdisciplinary care team facilitating care for the designated case load; monitors the patient’s progress with the appropriate interventions ensuring a focused plan of care and services are provided while providing high-quality cost-effective care.
• Self-directed and organized to meet the needs of the patient and the health care team.
• Serves as a resource person and provides support and interventions related to treatment decisions and end-of-life- issues.
• Works with appropriate hospital and community resources to facilitate optimum discharge plan.
• Facilitates transfers to other facilities as appropriate.
• Maintains a current knowledge of resources available within the community and maintains a supply of resource materials to be distributed to patients when needed.
• Provides clear, concise, and timely written documentation.
• Documentation meets current standards and policies.
• Communicates effectively and navigating conflicts with patients, families, members of the care team in a diplomatic and empathetic manner.
• Works directly with the Emergency Department
• Works directly with Labor and Delivery
• Participates in other duties as assigned including, but not limited to: Hospital Quality improvement activities and Quality Improvement teams.
• Manages and operates equipment safely and correctly.
• Demonstrates an ability to be flexible, organized and function under stressful situations.
• Maintains a good working relationship both within the department and with other departments.

EDUCATION & TRAINING REQUIREMENTS

• Current New Mexico or Multi-State RN Licensure or current New Mexico Social Work License (bachelor’s degree in social work)
• AHA-BLS
• Certification in Case Management (preferred).

WORK EXPERIENCE REQUIREMENTS

• Ability to interview, assess, organize and problem solve.
• Ability to identify appropriate community resources on assigned caseload and to work collaboratively with patients, families, and interdisciplinary team and community agencies to achieve desired outcomes.
• Experience in acute care management, discharge planning, performance improvement (preferred).