Case Manager

Responsible for the day-to-day decisions regarding coordination of care, utilization management, and discharge planning.  Manages patient caseloads coordinating plan of care and discharge. Maintains full responsibility ensuring customer and physician satisfaction is achieved.

JOB DUTIES

Actively demonstrates the organization’s mission and core values, and conducts oneself at all times in a manner consistent with these values. Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information. Provides quality and continuity of care through collaboration with other departments for patients on assigned caseload.  Provides leadership and effective communication to ensuring that appropriate outcomes for every patient are met in the most effective and efficient manner.  Negotiates among team members including physicians to resolve discrepancies in treatment plan. Conducts comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and LOS.  Serves as central point of communication. Demonstrates orientation toward excellent customer service by conducting daily activities, communication, and interactions in a cooperative, positive, and professional manner. Responsible for the effective and efficient use of human, financial, and material resources.  Identifies variances timely and makes appropriate strategic adjustments.  Assesses the effectiveness of the patient’s plan of care, focuses on outcomes, and recommends changes to effect patient progress. Ensures appropriate level of care and length of stay as evidenced by audit.  Uses intensity of service and severity of illness criteria to make decisions about admissions and continued provision of services. Assures thorough early and ongoing transition/discharge plans by collaborating with patients, families, physicians, payor, and providers across continuum of care.  Proactive in making arrangements for transition/discharge. Remains current in knowledge related to patient population and incorporates knowledge into practice. Performs other duties consistent with purpose of job as directed.

JOB SPECIFICATIONS AND CORE COMPETENCIES

Education:  Knowledge of clinical practice and case management processes normally acquired by completing a Bachelor’s Degree in Nursing with additional training/certification in case management.  BSN preferred.

Licensure:  RN Indiana license. Certification in an area of case management is preferred.

Experience:  Three to five years of clinical nursing experience with demonstrated leadership and management abilities.  Critical Care experience is highly desirable.

Other Job Requirements:  Demonstrates critical thinking skills. Demonstrates clear, effective communication to include verbal, written, and listening skills.

Demonstrates competency in computer applications.

May require the ability to speak Spanish.

Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs.