Case Manager

Position: Case Manager - Full Time - Days
* Greet, smile and make eye contact. Introduce self by name.
* Volunteer to help co-workers and other employees.
* Respond quickly to patients and/or other peoples’ needs.
* Recognize and value input from health system personnel.
* Redirect hospital staff to demonstrate core values to promote a positive work environment.
* Serves as a role model to promote collaborative relationships.
* Know and demonstrate customer complaint management process.
* Communicate effectively to solve problems at the personal and unit level.
* Remain calm in difficult situations and effectively diffuse crisis and refer to appropriate supervisory levels as needed.
* Perform an initial/ongoing assessment of the patient, support system, and environment to determine factors that impact the patient’s ability to maintain the highest level of independence/care.
* Properly identify patient needs and coordinate care and services provided by the interdisciplinary team to meet the needs of patient and/or family through the episode of illness from pre-hospital and/or ED to post-hospital care.
* Provide timely referrals to care team (i.e., Social Work, Rehab, Wound Care, and Diabetes Educator), provide pertinent clinical information to facilitate discharge/inpatient admission arrangements and respond to discharge needs.
* Inform patient/family of services available and initiate services that are consistent with patient’s identified needs to maintain the highest level of independence.
* Effectively communicate patient/family needs and concerns as soon as identified to the physician and interdisciplinary team and assure appropriate utilization of hospital and community resources are offered and arranged.
* Provide immediate counseling of patients and family and effectively diffuse crisis and refer to appropriate services as needed.
* MJE Women & Newborns:
Respond to admission education needs for Labor and Delivery, NICU, and Postpartum patients.  Facilitate all incoming scheduling needs from office. Chart review each event to confirm compliance and accuracy.
* Maintain a level of expertise and current knowledge base on available community resources and services available.
* Provide and document a list of agencies available that serve the geographical area requested by the patient. Disclose to patient/family if the hospital has any financial interest with post hospital agencies.
* Ensure services provided are consistent with the patient’s identified needs. If applicable, provide referral to appropriate resources/agencies/facilities as soon as recognized, effectively communicating patient needs, provide access to electronic medical records and complete PASSR for nursing home admissions.
* Facilitate discharge needs or the return of patients to their previous facility, ensuring documentation and communication is effective.
* MJE Case Management:
Collaborate with physician, interdisciplinary team and patient/family to develop comprehensive, proactive discharge plans for all complex patients.  Participate in daily huddles/unit rounds and effectively communicate any barriers to discharge.  Facilitate discharge planning by documenting an accurate picture of patients discharge needs, services offered and any barriers to discharge or plan of care from being implemented or carried out.
* MJE Women & Newborns:
Facilitate communication between CPS, legal, and surrogacy to meet discharge needs of newborns, intended parents, and birth parents.
* Follow up with patient/family to ensure needs and education are being met after discharge.
* Collaborate with team to avoid unnecessary admission due to social reasons.
* Recognize payer source and what criteria insurance companies utilize.
* Provide daily evaluation of all observation/outpatient surgical patients criteria/guidelines for severity of illness and intensity of service that are potentially going to cross two midnights to ensure appropriateness of admissions/higher level of care needs. (Disease Specific)
* Communicate appropriate information to providers as requested.
* Serve as a gatekeeper for admissions. Provide real time evaluation of admission criteria/guidelines and continued stay for severity of illness…