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Cynet Health is seeking a Care Manager II RN to coordinate case management activities within a high-paced clinical setting in Texas. The role emphasizes collaboration with patients, families, physicians, and a multidisciplinary team to develop and manage care plans from admission to discharge.
The position requires clinical competency, the ability to manage throughput, and expertise in discharge planning, with preference for those holding Case Management certification and BLS.
Profession: Care Manager
Specialty: Administration
Duration: 13 weeks
Shift: Day
Hours per Shift: 8 hours
Experience: Minimum of 2 years in case management, utilization management, and acute care settings.
License: RN or MSW in the state of Texas, LBSW accepted for candidates with 5+ years of demonstrated success.
Certifications: Certification in Case Management preferred, BLS preferred.
Must-Have: Clinical competency and ability to work in a high-paced environment.
Description:The Care Manager II works in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care.This role involves developing a plan of care for each assigned patient from admission through discharge.The Care Manager is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth transitions, patient satisfaction, patient safety, and length of stay management.Support and expertise are provided through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs.Care coordination and discharge planning are key responsibilities of this role.The Care Manager assesses and responds to patient/family needs by coordinating efforts of other team members and identifying and resolving barriers to effective patient care.This position adheres to departmental and organizational goals, objectives, standards of performance, policies and procedures, while ensuring regulatory compliance.Responsibilities include coordinating case management functions into the patient care and discharge planning processes in collaboration with other departments and organizations.The Care Manager facilitates patient care progression in an efficient manner and serves as a resource, providing support and advocacy for patients related to treatment decisions and end-of-life issues.Monitoring patient length of stay when necessary and collaborating with appropriate interdisciplinary team members to expedite discharge is crucial.The role involves implementing and monitoring patient care plans to ensure the effectiveness and appropriateness of services.The Care Manager proactively identifies and resolves delays to discharge, using conflict resolution skills as needed for timely issue resolution.Interviews with patients/families are conducted to obtain information about social, emotional, and financial factors that impact health status.They assess needs for discharge planning and continuing care, recommending post-acute level of care options, community resource needs, and addressing financial issues.Discharge planning is initiated at admission with referrals made based on gathered information.Acting as a patient advocate involves negotiating for resources with payors, agencies, and vendors.Communication of all elements critical to the plan of care to the patient, family, and members of the healthcare team is essential to ensure continuity of care.The role requires providing education, information, direction, and support related to the patient's goals of care.The Care Manager is responsible for maintaining plan consensus from the patient/family, physician, and payor.The position calls for assessing the patient’s formal and informal support system, as well as available community resources.Care Managers must demonstrate good communication skills and the ability to interact with diverse populations.They should possess critical and analytical thinking skills, stay organized, and work independently.Knowledge of discharge planning, utilization management, case management, performance improvement, and reimbursement practices is required.Understanding of pre-acute and post-acute levels of care and community resources is essential.This role will require movement around the facility to perform duties effectively.