Case Manager (Va)

To provide ongoing support and expertise through comprehensive assessment, planning implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management and discharge planning. Has accountability for the care, coordination and discharge planning of all patients.

General Duties:

• Coordinate the integration of social services/case management functions into the patient care, discharge, and home planning processes with other hospital departments, external service organizations, agencies and healthcare facilities.
• Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff, JCAHO, CMS, and other state agencies. Acts as patient advocate: investigates and reports adverse occurrences, and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
• Promote effective and efficient utilization of clinical resources.
• Mobilizes resources and interviews, as needed, to achieve expected goal to assist in achieving desired clinical outcomes within the desired timeframe.
• Ensure that patient tests are appropriate and necessary and are carried out within the established timeframe and that results are promptly available.
• Refers cases where patients and/or family would benefit from counseling required to complete complex discharge plan to social worker.
• Serve as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
• Directs and participates in the development and implementation of patient care policies and protocols in order to provide advice and guidance in handling special cases or patient needs.
• Coordinates the provision of social services to patients, families, and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.

Education and Experience

Bachelor's Degree in healthcare related field is preferred. Minimum of two (2) years’ experience working in a healthcare setting.

Work Remotely

• No

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

People with a criminal record are encouraged to apply

Work Location: In person