Job Title: Case Manager
Profession: Manager
Specialty: Clinical Operations
Duration: 13 weeks
Shift: M-F 8a-4:30p
Hours per Shift: 8
Experience: Minimum of two years of nursing experience in a clinical setting with a frail or elderly population.
License: Unencumbered RN License
Certifications: BLS
Must-Have:
- Nursing knowledge and skills necessary to treat frail, elderly participants and manage complex clinical situations.
- Excellent clinical, organizational, and communication skills in settings with seniors, their families, and interdisciplinary team members.
- Ability to work independently with minimal supervision.
- Demonstrated ability to prioritize in a fast-paced environment.
Description:
The Case Manager is a member of the Interdisciplinary Care Team and will work in collaboration with the team to deliver and manage all aspects of participant care.
The Case Manager will conduct required assessments and develop and follow individualized participant Care Plans.
This role will address patient needs, communicate with participants and their families, and advocate for participant needs to be met.
In partnership with the Primary Care Provider, the Case Manager is responsible for delivering care in the center, within participants' homes, and other care settings.
The Case Manager must manage participant and family care needs.
The Case Manager will take ownership of the outcomes and quality of care for their assigned participant panel.
They will work directly and in tandem with the Primary Care Provider, utilizing other clinic resources.
The Case Manager will conduct required assessments, educate participants and their support network on conditions, and perform follow-up visits as determined by participant needs.
They will develop and implement a discipline-specific plan of care in collaboration with the interdisciplinary team, ensuring the delivery of high-quality, participant-centric, and compassionate care.
The Case Manager will identify participants' overt problems and needs, determine priorities, and appropriately escalate issues.
They will coordinate care for participants with the highest level of complexity, including those in various care settings, to ensure seamless transitions of care and participant satisfaction.
The Case Manager will also attend to the Clinical Inbox, ensuring that orders are completed, test results are reviewed, and appropriate actions are taken.
They will perform and document care in the clinic or during home visits as necessary.
The Case Manager will communicate participant changes to the interdisciplinary team, especially regarding post-procedure or post-discharge needs.
They will review results from medical tests and evaluations, ensuring timely responses to participants and proper documentation.
In the absence of supervisors, the Case Manager will provide support on relevant tasks associated with care delivery and coordination.
They will act as a coordinator of care, evaluating and following up on patient care measures.
The role requires strong clinical assessment skills, patient education, and managing population management for an assigned group of patients.
The Case Manager should have the ability to work with people from diverse backgrounds and cultures.
A commitment to unlocking the full potential of vulnerable seniors is essential.