Case Manager Hourly - RN or LPN - full time

POSITION SUMMARY:
The Case Manager is responsible for providing Social Service and Discharge Planning functions. Works closely with infants, pediatrics, adolescents, adults and their families in planning their required post hospital care. Provides resources for inpatients, outpatients, emergency department and swing bed patients. The Case Manager is responsible for monitoring the patients’ plan of care as developed by the physician and assists the physician in the development of creative, flexible and cost effective options to meet the individual needs and produce quality outcomes during admission to acute/swing bed status. The process is initiated to or at the time of admission and extends across the continuum of care until the patient no longer requires management. The Case Manager works with the physician and staff to ease the patient’s transition through the continuum and optimizes resource utilization. The Case Manager coordinates the multidisciplinary team approach in assessing the need for discharge planning/case management. The Case Manager monitors a patient’s hospital stay to prevent delays in service, repetitive or redundant services, appropriateness of medication, the mode of medication administration, and the appropriateness of test and when/where they are accomplished. The Case Manager works with the Utilization Reviewer to ensure cases are pre-certed, dates of hospitalization are approved, and assists in utilization review as needed. The Case Manager will function as an assistant to the Patient Activities Coordinator for swing bed patients. The Case Manager will be a resource to staff members on community services and resource management.

POSITION REQUIREMENTS:
Experience: Prior experience in utilization review, discharge planning, DRG’s or Quality assurance preferred. 5 years acute care clinical experience preferred. Previous experience and knowledge of Case Management preferred.

Education: BS Degree in Social Work, RN, LPN or degree in health care related field preferred.

Special Qualifications: Ability to work well with others. Excellent written and oral communication skills, problem solving and quantitative skills, self-motivated. Must be able to work with minimal supervision.