Case Manager

MU Health Care; Columbia Township (MO); On-site; USD 59,000 - 97,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement match (8% up to 100%)

Tuition assistance

Employee discounts

Job summary

MU Health Care is seeking a dynamic Case Manager to join our Care Coordination team at University Hospital in Columbia, MO. This on-site role supports admission assessment, discharge planning, and coordination with MDs, nurses and therapists to optimize resource use and patient outcomes.

The ideal candidate has 3+ years of clinical experience and holds an accredited social work license or applicable professional licensure. Comprehensive benefits and a collaborative environment are offered.

Qualifications

• Three (3) years of clinical experience with knowledge of medical terminology, diagnoses, treatment protocols and disease processes.
• A qualifying professional licensure pathway must be satisfied from the provided list (MSW/LMSW/LCSW, RN, OT, SLP CCC, PT, or RCP/RCP-T).
• Collaborates with MDs, nurses and therapists to coordinate care, resource utilization and service delivery.

Responsibilities

• Assess and screen admission to promote early transition planning and risk of readmission; implement pathways and protocols to mitigate readmission.
• Assist in development of the plan of care for delivery of services with patient, family, physician and other providers; counsel and plan discharge transitions.
• Arrange/authorize delivery of appropriate services as agreed to by patient/caregiver; coordinate care delivery for timely provision of services and outcomes.
• Facilitate and coordinate patient progression along continuum of care and discharge planning for complex needs.
• Develop individualized care protocols and guidelines by service line; ensure accurate documentation with the multidisciplinary team.
• Monitor service delivery for timeliness, adherence to plan, quality and cost; escalate issues to attending physicians and hospital leadership.
• Collaborate with other providers and payer relations; engage in community relationship-building.
• Serve as liaison among providers, payer and physician with ongoing education on documentation and utilization issues.
• Counsel patients and families; assess biopsychosocial issues and comply with mandatory safety reporting.
• Coordinate with internal and external legal entities as needed for patient interests.

Education

Master of Social Work (MSW) or LMSW/LCSW licensure

Missouri RN licensure

OT licensure (MO) or OT Compact

SLP CCC/ASHA

PT licensure or PT Compact

RCP or RCP-T licensure (MO) NBRC

Job description

Shift: Monday - Friday 8:00 a.m. to 5:00 p.m.

Work Arrangement: On-Site
Department: Care Coordination

Facility: University Hospital - 1 Hospital Drive, Columbia, MO
Compensation:

• Base Pay Range: $59,322 - $96,762 per year, based on experience.

ABOUT THE JOB

MU Healthcare is looking for a dynamic and compassionate Case Manager to join our team! If you are driven by the desire to make a positive impact on patient's lives and thrive in a collaborative environment, we want you! As a key collaborator with our service line professionals, including MDs, nurses, and therapists, your role will be pivotal in coordinating care and ensuring the appropriate utilization of resources and services.Join us in this fulfilling journey of compassionate care and professional growth!

ABOUT MU HEALTH CARE

MU Health Care is proud to be named one of Forbes' Best-in-State Employers seven years in a row, and that's largely a result of the incredible culture and team we've built. At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. Here, we believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger - to have a voice and role in the work that is serving our community and changing the field of medicine.

Our academic health system - the only in mid-Missouri - is home to seven hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital, as well as over 90 specialty clinics. Here you can define your career among our many clinical and nonclinical positions - with growth, opportunity and support every step of the way.

Learn more about MU Health Care.

Learn more about living in mid-Missouri.

EMPLOYEE BENEFITS

• Health, vision and dental insurance coverage starting day one
• Generous paid leave and paid time off, including ten holidays
• Multiple retirement options, including 100% matching up to 8%and full vesting in three years
• Tuition assistance for employees (75%) and immediate family members (50%)
• Discounts on cell phone plans, rental cars, gyms, hotels and more
• See a comprehensive list of benefits here.

DETAILED JOB DESCRIPTION

• Assess and screen admission to promote early transition planning and risk of readmission; implement pathways and protocols to mitigate readmission.
• Assist in the development of the plan of care for the delivery of appropriate services for patients/caregivers in conjunction with patient, family, patient's physician, and other providers. Counsel, plan and implement discharge transitions with patients and families considering age specific needs.
• Arrange/authorize the delivery of appropriate services as agreed to by patient/caregiver. Coordinate the course of care delivery to ensure timely provision of services and achievement of outcomes.
• Facilitate and coordinate patient progression along continuum of care and discharge planning of complex need patients and or payers.
• Develop individualized plan of care protocols, pathways, and guidelines by service line, diagnosis, social determinants, or special needs. Interact with the multidisciplinary team to ensure accurate and high-quality documentation practices, policies, and regulations.
• Monitor the delivery of services for timeliness and appropriateness, adherence to plan, quality, and cost escalating issues to attending physicians and hospital leadership.
• Collaborate with other providers (physicians, home care agencies, etc.) to discuss patient/caregiver needs services. Participate in developing community relationships.
• Serve as liaison between other providers, the payer, and the physician, providing ongoing education regarding physician documentation requirements and utilization issues.
• Counsel patient and family, provide assessment of biopsychosocial issues and maintain compliance with mandatory reporting for patient safety issues.
• Work in tandem with legal entities within organization and outside of organization in best interests of the individual patient. Prepare interrogatories and testimony to legal entities as needed.

REQUIRED QUALIFICATIONS

• Three (3) years of clinical experience, which provides knowledge, and understanding of medical terminology, patient diagnoses, treatment protocols and disease process.
• One of the following:
• Master of Social Work degree, or Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) licensure by the Missouri State Committee for Social Workers board, or
• Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN. When primary state of residency changes, compact state RNs must apply under new state of residency within thirty (30) days, or
• Occupational Therapist (OT) licensure by the Missouri Board of Occupational Therapy or OT Compact multi-state privilege. When primary state of residency changes, compact state OTs must apply under new state of residency within thirty (30) days; OR
• Speech Language Pathologist (SLP) licensure by the Missouri Commission for Speech-Language Pathologists, and Certificate of Clinical Competency (CCC) certification from American Speech-Language-Hearing Association (ASHA), or
• Physical Therapist (PT) licensure by the Missouri Board of Registration for the Healing Arts or PT Compact multi-state privilege. When primary state of residency changes, compact state PTs must apply under new state of residency within thirty (30) days.
• Respiratory Care Practitioner (RCP) or (RCP-T) licensure by the Missouri Respiratory Care board and Registered Respiratory Therapist (RRT) certification by the National Board for Respiratory Care (NBRC).

PREFERRED QUALIFICATIONS

• Case management certification or other related specialty.
• Experience in case management, social work or utilization management work.
• Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position, and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.