Case Manager

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Location
BBC Bronson Battle Creek

Title
Case Manager

Responsible for moving patients from admission through discharge without disruption to their care through the process of assessment, planning, implementation, coordination monitoring and evaluation of patient caseload. Ensures appropriate care is based on patient needs and the hospital's capabilities. Serves as an advanced clinical resource to patients, families, and staff in the delivery of care to all patients. Works collaboratively with the interdisciplinary team to provide a continuum of comprehensive cost-effective care. Monitors outcomes as a process of continuous improvement. Employees providing direct patient care must demonstrate competencies specific to the population served.

• Beginning March 31, 2014 forward all new hires will possess BSN upon hire; Master's degree strongly preferred.
• Minimum of 3 years of experience in an acute care hospital setting
• Licensed Registered Nurse in good standing with the State of Michigan
• BLS certification required by completion of core orientation
  
• Case Management Certification preferred
  
  
• Ability to utilize word processing, spreadsheet, keyboard skills, presentation programs, and other software relevant to the job.
• Ability to handle multiple priorities in a stressful environment • Communicates effectively and efficiently with all levels of healthcare providers both verbally and written
• Ability to communicate in a manner that patients and family find understandable, collaborative and supportive
• Demonstrates diverse critical global thinking, decision making and problem solving abilities
• Effectively communicates, negotiates, influences, uses sound judgment and follows up on situations/issues in a timely, appropriate manner
• Demonstrates ability to assess, prioritize, plan, organize, monitor and evaluate patient needs and skill level
• Ability to correctly prioritize multiple demands in a stressful situation
• Anticipates patient's needs and works to quickly resolve
• Works independently, self-motivated
• Utilizes effective negotiation and conflict resolution skills
• Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.
• Ensures early assessment and identification of patients at risk for post hospitalization care and services. Performs further assessment/interview with patient and/or family, relevant health records, and psychosocial aspects of care needs when indicated. Initiates development and facilitates ongoing review and revision of patient transition care plans with the care coordination team members.
• Manages and monitors patient progress and documents according to procedure
• Provides ongoing assessment and keeps in contact with patients as they are receiving their care. Rounds daily on all assigned patients
• Identifies readmissions, reasons for readmission, and interventions needed prevent further readmissions and communicates plan to multidisciplinary team.
• Works cooperatively with the health care team and takes responsibility for ensuring smooth, efficient transition of care between services.
• Drives multidisciplinary team rounds.
• Documents clear and specific transitional planning reflective of meeting the patient's level of care need and choices.
• Enacts transitional plan that effectively moves the patient along the care continuum. Effectively works with the community to identify and allocate post discharge needs. Evaluates patient need for hospital and extended care resources (Medical Social Work, Pastoral Care, rehabilitation care, long term care, home health care, and community resources) and when appropriate, makes referrals
• Acts as a liaison between patients, physicians, ancillary and community services throughout the entire patient experience from diagnosis to post-discharge to ensure effective healthcare management and delivery of transitional services.
• Develops, implements, coordinates and communicates the plan of care encompassing acute phase through transition out of acute care.
• Builds and maintains strong collegial relationships with physicians, nursing team and leaders to provide quality of care.
• Coordinates care using Pathways or Plan of Care and takes responsibility in the ongoing development and revision of Pathways and Plan of Care.
• Participates actively in assigned groups and committees.
• Ensures appropriate use of community and outpatient resources to adequately support care needs after discharge
• Manages and coordinates appropriate discharge plans to ensure LOS appropriate for care needs this includes ensuring and facilitating the achievement of quality, clinical and financial outcomes, negotiating, procuring, and coordinating services and resources needed by the patient/family, and intervening at key points for individual patients.
• Evaluates outcomes related to the Case Management process including LOS, Readmission reports, patient satisfaction and financial variances related to case management participation in the patients care. Reports pertinent variances. Translates outcomes to principles of healthcare reimbursement
• Tracks and trends all outlier LOS data to reduce outlier LOS

BLH & BSH Specific:

House Manager duties include:

• Coordinating and overseeing hospital operations - provides clinical and administrative direction in absence of Unit Leaders.

• Resolving crises and conflicts. Provides analysis, assessment, and intervention for problems requiring immediate attention. Informs department managers and directors of problems and resolutions.

• Investigates problems and complaints from patients, visitors, physicians, and staff. Implements appropriate action and follow-up.

• Initial contact for atypical events. Conducts initial assessment of event. Initiates appropriate action, ensuring stabilization of patient. Ensures notification of risk management, CSI, and department manager/director.

• Assesses safety concerns and takes action as appropriate.

• Coordinates admissions/transfers/patient placement.

• Monitors hospital capacity and works with Staffing Office to ensure appropriate staff placement.

• Conducts regular rounds of all Hospital Departments/Units.


• Maintains utilization review

• Monitors infection control data

• Leads Safety Check-In meetings on weekends and holidays

• Answers calls for Employee Incident Hot Line after hours, on weekends, and holidays. Provides initial triage and directs employee to ER as appropriate. Documents all calls on the Employee injury & Illness Incident Report. Collaborates with ER physician to initiate prophylactic treatment of employees in the event of exposure to communicable diseases.

• Participates in After-Care duties when required

BBC Specific:
• Work with multidisciplinary team and providers to create standard care plan on patients. Review care plan and/or behavioral contract with patient as needed.
• Assess eligibility of uninsured and underinsured patients for federal, state and community programs to assist funding of medical care. Assist patient with processing paperwork and collaborate with Patient Financial Counselors as needed.
• Function as a liaison to community programs, participate in community meetings and maintain a network of appropriate contacts to identify potential resources for meeting patient's needs

Shift
First Shift

Time Type
Full time

Scheduled Weekly Hours
40

Cost Center
2450 Case Management/Medical Social Work (BBC)

Agency Use Policy and Agency Submittal Disclaimer

Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration.

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