Case Manager

Case Manager

Team Bronson is compassionate, resilient and strong. We are driven by positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.

If you're ready for a rewarding new career, join Team Bronson and be part of the experience.

Location: Battle Creek - 300 North Ave - Bronson Battle Creek Hospital

Shift: First Shift

Time Type: Full time

Scheduled Weekly Hours: 40

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

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