Job Description
This is the pay range that BAHAMA Consulting reasonably expects to pay someone for this position.
FLSA STATUS: Non-Exempt (Overtime paid at 1.5X regular rate of pay) SUMMARY: The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or treatment team responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual’s and family’s comprehensive health care needs though communication and available resources to promote patient safety, quality of care and cost effective outcomes. Addresses the needs of patients who have experienced a critical event or diagnosis that requires complex management strategies and the extensive use of resources to optimize health outcomes along the care continuum. Provides services to patients from ambulatory, inpatient or health plan settings. RESPONSIBILITIES:- Conducts a comprehensive assessment of patient and family/caregiver’s biomedical, psychological, social and functional needs to gage the potential impact on recovery.
- Develops personalized patient-centered care plans aimed at optimizing the patient’s care experience.
- Engages patients and their families as part of the care team through advocacy, ongoing communication, health education, identification of resources and service facilitation.
- Utilizes professional judgment, critical thinking, motivational interviewing and self-management techniques to assist patients in overcoming barriers to goal achievement.
- Provides counseling and interventions related to treatment decisions and end of life issues including Advanced Care Planning.
- Provides coordination as necessary to ensure patients seamlessly and safely transition between care settings.
- Advocates for appropriate delivery of services within the patient’s health plan benefit structure.
- Collaborates with appropriate members of the patient’s treatment/care team to co-manage patients with complex medical and social needs. Facilitates interdependent collaborate care conferences.
- Continually evaluates the patient’s response to the care/treatment plan making modifications when necessary.
- Plans and participates in process improvement activities designed to reduce risk, inclusive of data collection, analysis and follow-up intervention activities.
- Facilitates interventions in cases involving child abuse and neglect, domestic violence, elder abuse, institutional abuse and sexual assault.
- Supports department based goals, which contribute to the success of the organization.
- Performs other duties as assigned.
- Registered Nurse (RN) or a Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license.
- Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) preferred.
- Three or more years of oncology experience preferred.
- Certification in oncology social work (OSW) preferred if the candidate is a LMSW.
- Experience in discharge planning, home health care, rehabilitative medicine, community health, or managed care.
Benefits: Medical, Dental, Vision, HSA, Employee Assistance Program (EAP), STD, LTD, Life and 401(K)
BAHAMA Consulting is an equal opportunity employer. If you need an accommodation for any part of the application and hiring process or have any questions, please contact HR.
Day shift