Care Manager II - Case Management

Christus Health; Corpus Christi, Town of Texas, West Sacramento (TX, WI, CA); On-site; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to enhance patient care and ensure smooth transitions throughout the healthcare continuum. This role requires collaboration with patients, families, and healthcare teams to develop individualized care plans, monitor patient flow, and advocate for treatment decisions. The Care Manager will play a vital role in assessing patient needs, addressing barriers to care, and ensuring compliance with organizational policies. Join a dynamic team committed to improving patient outcomes and delivering exceptional care in a supportive environment.

Qualifications

• Graduate of an accredited nursing school or Master's in Social Work required.
• At least 2 years of clinical experience, preferably in an acute care setting.

Responsibilities

• Collaborate with multidisciplinary teams for patient care and discharge planning.
• Facilitate patient care progression and resolve discharge barriers.

Skills

Patient Advocacy

Care Coordination

Conflict Resolution

Assessment Skills

Communication Skills

Education

Bachelor of Science in Nursing (BSN)

Master's in Social Work (MSW)

Tools

Electronic Health Records (EHR)

Job description

Description

Summary:

The Care Manager (CM) II collaborates with patients, families, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care and to develop individualized care plans from admission to discharge. The CM manages patient flow to enhance continuity of care, safe transitions, patient satisfaction, safety, and length of stay. Responsibilities include comprehensive assessment, planning, implementation, and evaluation of patient needs, with a focus on care coordination and discharge planning. The CM assesses and addresses patient/family needs, coordinates team efforts, and resolves barriers to effective care. The role adheres to organizational policies and ensures regulatory compliance.

About CHRISTUS Spohn Hospital Corpus Christi - Shoreline:

• Largest acute care facility in the region with diagnostic and surgical specialties in cardiac, cancer, and stroke care.
• Leading emergency facility with a Level II Trauma Center, staffed with specialized physicians and nurses.
• Features include a state-of-the-art emergency department, ICU, Cardiac Cath Lab, surgical suites, and affiliations with Texas A&M University System.

Responsibilities:

• Meet expectations of applicable competencies: Leader of Self, Others, or Leaders.
• Integrate case management into patient care and discharge planning collaboratively across departments and external agencies.
• Facilitate patient care progression efficiently and cost-effectively.
• Support and advocate for patients regarding treatment and end-of-life decisions.
• Monitor length of stay and collaborate to remove discharge barriers.
• Implement and evaluate the patient's care plan for effectiveness.
• Identify and escalate systemic barriers affecting diagnosis or treatment.
• Proactively resolve discharge delays and obstacles using conflict resolution skills.
• Collaborate with healthcare staff to eliminate care delivery barriers.
• Conduct patient and family interviews to assess social, emotional, and financial factors impacting health.
• Assess needs for discharge planning and make recommendations for post-acute care options, including rehabilitation, nursing homes, psychiatric placements, dialysis, abuse support, community resources, legal issues, advance directives, and financial assistance.
• Initiate discharge planning at admission and coordinate post-hospital services based on assessments and team interactions.
• Act as a patient advocate, negotiating resources with payors, agencies, and vendors.
• Ensure communication of care elements to patients, families, and healthcare teams, maintaining proper documentation.
• Provide culturally sensitive interventions respecting diverse backgrounds.
• Assess support systems and available community benefits.
• Meet with patients and families to develop individualized care plans in collaboration with physicians, ensuring consensus and understanding.
• Educate and support patients regarding their care goals.
• Coordinate care transitions and promote appropriate resource utilization.
• Respect patient dignity and rights, adhering to safety standards.
• Participate in clinical performance improvement activities, including monitoring length of stay, resource use, and readmissions.
• Evaluate intervention effectiveness through communication with post-acute providers and caregivers.
• Engage in professional development and mandatory education.
• Participate in multidisciplinary rounds and escalate cases as needed.
• Document in accordance with regulatory guidelines and assist with special projects or onboarding new staff.
• Maintain professional growth, communication skills, clinical competency, multitasking ability, and knowledge of community resources.

Job Requirements:

Education/Skills:

• Graduate of an accredited nursing school (BSN preferred) or hold a Master's in Social Work (MSW), or demonstrate success in the CHRISTUS Care Manager I role for at least 5 years in lieu of formal education.

Experience:

• At least 2 years of clinical experience, with 1 year in an acute care setting preferred.

Licenses, Registrations, or Certifications:

• RN or LMSW license required in the state of employment.
• LBSW accepted with 5+ years of success in the Care Manager I role.
• Case Management certification preferred.
• BLS certification preferred.

Work Schedule:

5 days a week, 8 hours per day.

Work Type:

Full Time

EEO is the law - more information:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

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