Case Manager-Care Coordination

:

Overview

Description for Internal Candidates

Summary

Manages the care of a specific group of patients; facilitates the safe movement of patients throughout the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review agencies, local, state and federal requirements. Collaborate with patients/families and the healthcare team in the transition planning process. Provides education to patients/families to assist in coping with the patient's hospitalization and post-acute care needs. Performs other duties as assigned.

Responsibilities

Identify the need for patient/family regarding Social/Psychosocial issues that need to be addressed

Build on the LMSW or LCSW's planning assessment in developing, coordinating, implementing and revising a care plan to ensure good transition management and continuity of care, cost reduction and patient self-management (patient activation).

Build on community resources and relationships to meet the needs of our patient population

Collaborate with the physician and all members of the multidisciplinary team to facilitate care and assist in meeting discharge goals

Completes assigned goals

Requirements, Preferences and Experience

Education

2-4-year degree in a health-related field (family services, social work, psychology, counseling, nursing, etc.).

Licensure, Registration, Certification

Credentials: No license required. Graduate of an accredited school.

Experience

2 years clinical experience in a medical/clinical setting

Special Skills

Minimum Required: Excellent interpersonal communication and negotiation skills. Ability to identify and coordinate appropriate resources in the community. Ability to work with people of all social, economic, and cultural backgrounds. Computer skills.