Case Manager

GA_SMHHS St. Mary's Hospital, Inc.; Athens (GA); Presencial; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

Trinity Health is seeking a Case Manager in Georgia to coordinate care from admission to community return. You will perform biopsychosocial assessments, utilization reviews, and discharge planning to ensure timely transitions and optimal resource use.

Collaboration with physicians and external agencies is essential for smooth post-hospital care. Requirements include a current GA RN license, BSN recommended, and 2+ years nursing with 1+ year in case management or discharge planning.

Formación

• Must hold a current GA RN license and be a graduate of an accredited nursing program.
• BSN recommended to enhance case management practice.
• Minimum 2 years of nursing experience and at least 1 year in case management, utilization management, or discharge planning preferred, with CM certification preferred.

Responsabilidades

• Collaborate with a health care team to evaluate options and services from admission to return to the community.
• Conduct initial and concurrent chart reviews for utilization review and identify patients needing CM follow-up.
• Perform biopsychosocial assessments and communicate with physicians regarding actions to reduce discharge delays.

Conocimientos

Communication

Interpersonal skills

Critical thinking

Educación

GA RN license

BSN recommended

Descripción del empleo

Employment Type: Full time Shift: Day Shift

Description: The Case Manager, in collaboration with other healthcare professionals, is responsible for implementing an interdisciplinary process for evaluating the options and services required to meet an individual’s health care needs from admission to the acute care setting through return to the community for a specific caseload of patients. The case manager is also responsible for conducting initial and concurrent chart reviews for the purpose of utilization review as well as identifying patients requiring case management follow-up. This includes a biopsychosocial assessment of the case management patients, their response to treatment, identifying and alerting the physicians of possible actions to reduce delays associated with extended stays. The case manager enhances cost-effective use of resources by identifying and initiating discharge planning to accomplish the timely transition of patients to a post-hospital setting. The case manager must have in depth knowledge of system and community resources and referral agencies. The case manager is responsible for communicating with external agencies to provide referrals information for a smooth transition from hospital to the post-hospital setting. This includes communication with other health care agencies and payer sources. This position will also assure proper identification of principal and secondary diagnosis in collaboration with the treating physician.

Position Requirements:

• A: Licensure/Certification/Registration: Current GA RN license
• B. Education: Must be a graduate of an accredited school of nursing, BSN recommended
• C: Experience: Must have a minimum of 2 years' experience in nursing and a minimum of 1 year in case management, utilization management, or discharge planning preferred. Certification in case management preferred.
• D: Special Qualifications: Excellent communication, interpersonal, and critical thinking skills.

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.