Case Manager, Sr. coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Being a Case Manager, Sr. evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Additionally, Case Manager, Sr. identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for conducting utilization reviews. Typically requires a bachelor's degree of Nursing. Typically reports to a head of a department/unit. Requires Registered Nurse (RN). The Case Manager, Sr. contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Case Manager, Sr. typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
The Case Manager interfaces directly with all members of the multidisciplinary care team, the patient and family/significant others. In addition, the Case Manager interacts with referral sites and community providers at both ends of the continuum of care. He/she analyzes care needs of patients and monitors progress toward desired outcome goals and tracks and analyzes clinical and financial data to support clinical decision-making. Interface occurs with Clinical Information Analysis, Performance Improvement/Quality, and Risk Management Departments, as patient care and facility systems issues are identified. Because of the extensive interface of the Case Manager with the patient and family, he/she must exhibit a thorough knowledge of the principles of growth and developmental needs over the life span of the neonate through geriatric populations.
Current KY RN licensure and CPR required; BSN and minimum of three years in utilization, quality, or case management preferred. Knowledge of acute care regulatory/accreditation requirements, discharge planning experience preferred. Data analysis and interpretation skills. Strong organizational and prioritization skills needed. Highly developed problem solving and deductive reasoning skills. Dependable, self-directed and pleasant. Adaptable and flexible to meet patient/family and department/facility needs. Proven supervisory, leadership, and organizational skills are required. Must obtain and/or maintain current CPR, ACLS, PALS instructor certification.
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