Case Manager - Full Time Days

ScionHealth; Chattanooga (TN); On-site; USD 75,000 - 95,000; Full time

Job summary

ScionHealth in Chattanooga is seeking an experienced Case Manager to coordinate patient care across the continuum and partner with the ICT team, physicians, and families for safe, timely discharges and appropriate resource use.

You will assess, plan, implement, and evaluate patient needs, advocate for patients, and ensure compliance with regulatory standards while collaborating with payors and post-acute providers.

Qualifications

• 2+ years of acute care experience required.
• Active RN license in the state of practice required.
• Case management certification (CCM/ACM/CSWCM) or eligible.
• Bachelor's degree in nursing or health/human services required.

Responsibilities

• Coordinates care with the ICT team, physicians, patients and families.
• Performs comprehensive assessments and develops care plans.
• Manages discharge planning and post-acute transitions.
• Monitors utilization, payment review and resource use.
• Advocates for patients and ensures regulatory and payer alignment.
• Collaborates with clinical staff to achieve goals and optimization.

Skills

Case management

Care coordination

Interdisciplinary collab

Critical thinking

Communication

Time management

Education

RN licensure

Bachelor's in health services

Tools

EMR systems

Job description

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions

• Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
• Monitors all areas of patients' stay for effective care coordination and efficient care facilitation.
• Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
• Appropriately refers high risk patients who would benefit from additional support.
• Serves as a patient advocate.
• Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
• Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs.
• Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.
• Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients’ care throughout the care continuum.
• Conducts comprehensive, ongoing assessment of patients to provide timely and safe discharge planning.
• Provide comprehensive discharge planning for each patient.
• Utilizes critical thinking to develop and execute effective discharge planning.
• Coordinate and communicates with patient/family efficient and effectively.
• Conducts medical necessity review for appropriate utilization of services from admission through discharge.
• Promotes effective and efficient utilization of clinical resources.
• Conducts timely and accurate clinical reviews, care collaboration and coordination of continued stay authorization with payor.
• Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
• Serves on Hospital and Division committees when requested.

Knowledge/Skills/Abilities/Expectations

• Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
• Knowledge of Medicare benefits and insurance processes and contracts.
• Knowledge of accreditation standards and compliance requirements.
• Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
• Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
• Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers
• Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.
• Approximate percent of time required to travel, 0% Must read, write and speak fluent English.
• Must have good and regular attendance.
• Performs other related duties as assigned.

Qualifications

Education

• Postsecondary (Cert/Diploma/Program Grad) or Associate's or Bachelor's degree in Nursing from an accredited program (Required) Or
• Bachelor's Degree or higher in a health and human services field from an accredited institution (Required)

Licenses/Certifications

• Other: Nursing or other applicable clinical license in the state of practice (RN, RT, PT, OT, SW) Upon Hire (Required) Or
• Other: Social Work credentials as required by the state of practice for independent work in case management Upon Hire (Required) Or
• Other: Meets qualifications to take CCM exam with CMSA Upon Hire (Required) Or
• Other: Case Management Certification such as CCM, ACM or CRRN or CSWCM Upon Hire (Required)
• Completion of a supervised field experience in case management, health, or behavioral health as part of the degree requirements. Upon Hire Required

Experience

• 2+ years experience in an acute care setting (Required) And
• Prior Experience in case management, utilization review, or discharge planning (Preferred)

Additional Qualifications Clarification

• Completion of a supervised field experience in case management, health, or behavioral health as part of the degree requirements. (Required proficiency)