CASE MANAGER 2.

Job Description Summary
The Case Manager 2 coordinates the transition of the patient’s plan of care from one healthcare environment to another, or home, based on their need for continued care which includes but is not limited to assessing appropriateness, level of care and continued stay of the patient during hospitalization; planning for continuity of health care upon discharge from hospital, and coordinating needed individual, family, hospital and resources to implement the discharge plan in order to eliminate barriers to the delivery of clinical services with the patient, family and healthcare team and monitors clinical resource utilization.

Strategic Roles & Responsibilities

1. Actively participate in the development and implementation of Case Management projects including Clinical Pathways taskforce committees quality improvement tools data analysis and variance reports.
2. Maintain personal professional development as a Case manager keeping abreast with clinical changes and evidence-based practice.
3. Mentor and orientate new or less senior staff about case management roles and responsibilities.

Operational Roles & Responsibilities

1. Complete an initial screening of all assigned patients to identify patient strengths and needs related to clinical resource utilization and discharge planning.
2. Collaborate with members of the healthcare team to ensure the multidisciplinary plan of care is developed followed and modified as needed.
3. Identify variances from the plan of care and promote resolutions for the patient family and carer; monitor multidisciplinary patient care activities to develop appropriate care delivery strategies for identified patients and make recommendations as required; ensure that interventions are aligned with the medical management initiatives.
4. Use established criteria to determine the appropriateness of the admission and to determine medical necessity of hospital stay for inpatients; refer cases not meeting admission or continued stay criteria to the physician reviewer and appropriate administrative staff as directed.
5. Assist outpatients in setting specific measurable achievable realistic and time-bound SMART goals for self-management, teaching them how to do self-management tasks and reporting abnormal findings to their physician team.
6. Participate in process improvement activities related to case management practice and incorporate the research process into clinical practice through communication application evaluation of research findings as well as through participation in research activities relevant to area of expertise.
7. Participate and represent care management in relevant committee meetings e.g. long stay review, Clinical Guideline Development, Length of stay reduction work groups and staff meetings.

Minimum Education Required
Bachelor's Degree in Nursing required.
Professional Certifications Required
Current licensure as a professional registered nurse. 5 years minimum clinical nursing experience following licensure/registration in the country of origin, to include 2 years Case Manager/case coordinator experience preferred.
Demonstrated strong Oral and Written Communication Skills, Project Management, Quality Improvement, Change management, Time Management and Organizational skills are required.