Care Manager - Case Management - PRN
Company: Christus Health
Location: Corpus Christi
Posted on: October 16, 2024
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Job Description:
Description
Summary:
The Care Manager (CM) PRN works in collaboration with the
patient/family, physicians, and multidisciplinary team members to
ensure patient progression through the continuum of care and to
develop a plan of care for each assigned patient from admission
through discharge. The CM is responsible for identifying,
initiating, and managing optimal patient flow/throughput to enhance
continuity of care, smooth and safe 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 both responsibilities of this role. The CM assesses and
responds to patient/family needs by coordinating the efforts of
other team members and identifies and resolves barriers that hinder
effective patient care. The CM adheres to departmental and
organizational goals, objectives, standards of performance,
policies, and procedures, and continually assures regulatory
compliance.
CHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking
Corpus Christi Bay is the largest and foremost acute care medical
facility in the region, with a full range of diagnostic and
surgical specialty services in cardiac, cancer, and stroke care. It
is the leading emergency facility in the area with a Level II
Trauma Center in the Coastal Bend, staffed with physicians and
nurses specially trained in emergency services.
Responsibilities:
--- Meets expectations of the applicable OneCHRISTUS Competencies:
Leader of Self, Leader of Others, or Leader of Leaders. ---
Interviews patients/families to obtain information about social,
emotional, and financial factors which may impact health status
both prior to, and after, discharge and assess the patient's
current formal and informal support system as well as available
benefits and resources. --- Works with the CMII or CMIII to develop
and monitor the patient's plan of care to ensure effectiveness and
appropriateness of services. --- Coordinates/facilitates patient
care progression throughout the continuum of care in an efficient
and cost-effective manner. --- Serves as resource, provides
support, and acts as an advocate on behalf of the patient related
to treatment decisions and end of life issues. --- Closely monitors
patient length of stay and communicates/collaborates with
appropriate interdisciplinary team members to remove barriers and
expedite discharge. --- Identifies and escalates local and system
barriers that are impeding diagnostic or treatment progress and
issues related to quality and risk as appropriate in a timely
manner. --- Works to resolve identified delays to discharge. ---
Collaborates with medical staff, nursing staff, and ancillary staff
to eliminate barriers to efficient delivery of care in the
appropriate setting. --- Assesses needs for discharge planning and
continuing care/resource support following discharge; independently
makes recommendations to patients and families regarding post-acute
level of care needs and options including: --- Acute Rehabilitation
Placement --- Nursing Home or Skilled Nursing placement ---
Psychiatric or Substance Abuse placement --- New Dialysis ---
Child/Adult/Domestic Abuse --- Home Health/Hospice Referrals ---
Legal issues (adoptions, guardianship) --- Assistance with Advance
Directives --- Community Resource needs --- Financial
Issues/Funding options --- DME Referrals and Coordination ---
Social Determinants of Health --- Ensures appropriate communication
and updates are provided to the patient/family and members of the
healthcare team and are documented as necessary to assure
continuity of care. --- Provide appropriate interventions which
demonstrate knowledge of and sensitivity toward cultural diversity
and the religious, developmental, health literacy, and educational
backgrounds of the patient population. --- Provides information and
support to patients and families, helping them access needed
resources within the medical center and community. --- Ensures and
maintains plan consensus from patient/family, physician, and payor.
--- Collaborates with the physician and other health care
professionals to promote appropriate use of medical center
resources. --- Actively participates in Multidisciplinary/Patient
Care Progression Rounds. --- Escalates cases as appropriate and per
policy to Physician Advisors and/or CM Director. --- Documents in
the medical record per regulatory and department guidelines. ---
Assumes responsibility for professional growth and development. ---
Must have excellent verbal and written communication and ability to
interact with diverse populations. --- Must have critical and
analytical thinking skills. --- Must have demonstrated clinical
competency. --- Must have ability to Multitask and to function in a
stressful and fast paced environment. --- Must have working
knowledge of discharge planning, utilization management, case
management, performance improvement, and managed care
reimbursement. --- Must have understanding of pre-acute and
post-acute levels of care and community resources. --- Must have
ability to work independently and exercise sound judgment in
interactions with physicians, payors, patients and their families.
--- Must have understanding of internal and external resources and
knowledge of available community resources. --- Must have the
ability to move around the hospital to all areas for the majority
of the workday while in office the rest of the day; general office
and hospital environment.
Job Requirements:
A. Education/Skills
B. Experience
C. Licenses, Registrations, or Certifications
Work Schedule:
PRN
Work Type:
Per Diem As Needed
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Keywords: Christus Health, Corpus Christi , Care Manager - Case Management - PRN, Executive , Corpus Christi, Texas
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