What are the responsibilities and job description for the RN-Case Manager Genesys - Full-Time - 7:30am - 6pm Monday thru Friday & rotational weekends position at Henry Ford Health Genesy Hospital?
GENERAL SUMMARY:
The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment team responsible for the collaborative practices of identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual’s and family’s health care needs. The goals of the case manager are to promote patient safety, quality of care and cost-effective outcomes. The case manager provides effective discharge planning services that support a safe transition to the next level of care and addresses the needs of patients who have experienced a critical event or diagnosis that requires management strategies to optimize health outcomes along the care continuum.
Responsibilities: Creates plan for care across the continuum, integrating patient/family preferences and values. Monitors patient medical necessity and level of care through assessments, ongoing evaluations and/or patient records. Advocates for resources and removal of barriers. Maintains ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of health plan. Acts as a resource for adequate medical record documentation, level of care recommendations, and services as they relate to diagnoses, and treatment options for post-discharge care.
EDUCATION/EXPERIENCE REQUIRED:
· Bachelor’s degree in nursing or a Master’s degree of Social Work.
· Minimum (3) three years of clinical experience.
· Excellent verbal communication and written documentation skills.
· Excellent customer service and interpersonal skills including the ability to interact with internal and external customers and all levels of the organization.
· Strong problem-solving, analytical, and decision-making skills.
· Strong computer skills and knowledge.
· Experience in discharge planning, home health care, rehabilitative medicine, or managed care preferred.
· Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
· Knowledge of medical ethics and legal implications related to case management.
· Understanding of social determinants of health and their impact on a patient’s
wellbeing.
· Well versed in facilitating community resources to meet the needs of diverse populations.
· Strong organizational, planning and implementation skills with the ability to handle multiple complex patients’ needs simultaneously.
· Strong sense of compassion with the ability to successfully advocate for patients and their families.
CERTIFICATIONS/LICENSURES REQUIRED:
EDUCATION/EXPERIENCE REQUIRED: Registered Nurse (RN) with a valid, unrestricted State of Michigan license.
· Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred.