Case Manager - Bronson Battle Creek

Case Manager – Bronson Battle Creek Variable shifts including weekends and holidays. May work inpatient and emergency department. Responsibilities Move patients from admission through discharge without disruption to their care, including assessment, planning, implementation, coordination, monitoring, and evaluation. Ensure appropriate, cost‑effective care based on patient needs and hospital capabilities. Serve as an advanced clinical resource to patients, families, and staff. Collaborate with the interdisciplinary team to provide a continuum of comprehensive care. Monitor outcomes and participate in continuous improvement initiatives. Perform early assessment and identify patients at risk for post‑hospitalization care and services. Conduct further assessments/interviews and psychosocial evaluations as needed. Initiate, facilitate, and revise patient transition care plans with care coordination team members. Manage and monitor patient progress and document per procedure. Maintain ongoing assessment and contact with patients during care. Round daily on all assigned patients and identify readmissions, reasons, and required interventions. Ensure smooth, efficient transition of care between services and drive multidisciplinary team rounds. Document clear and specific transitional planning reflecting patient care needs and choices. Enact transitional plan to move patients along the care continuum. Work with community resources to identify and allocate post‑discharge needs, including referrals to appropriate services. Act as liaison among patients, physicians, ancillary staff, and community services throughout the patient experience. Develop, implement, coordinate, and communicate care plans from acute phase through transition out of acute care. Build and maintain relationships with physicians, nursing team and leaders to ensure quality of care. Coordinate care using Pathways or Plan of Care and contribute to ongoing development and revision. Participate actively in assigned groups and committees. Ensure appropriate use of community and outpatient resources to support post‑discharge needs. Manage and coordinate discharge plans to achieve appropriate length of stay and favorable clinical/financial outcomes. Evaluate outcomes related to the case management process, including LOS, readmission, patient satisfaction, and financial variances. Work with multidisciplinary team and providers to create standard care plans for patients and review behavioral contracts as needed. Assess eligibility of uninsured and underinsured patients for federal, state and community programs and assist with billing paperwork. Function as a liaison to community programs and maintain contact with appropriate resources to meet patient needs. Qualifications Licensed Registered Nurse in good standing with the State of Michigan. BSN upon hire (required); Master’s degree preferred. At least 3 years of experience in an acute care hospital setting. Case Management Certification preferred. Proficient in word processing, spreadsheets, keyboarding, presentation programs, and related software. Ability to handle multiple priorities in a stressful environment. Effective verbal and written communication with all healthcare levels. Ability to communicate clearly, collaboratively, and supportively to patients and families. Strong critical thinking, decision‑making, and problem‑solving skills. Negotiation, influence, and timely follow‑up abilities. Ability to assess, prioritize, plan, organize, monitor, and evaluate patient needs and skill level. Independent self‑motivation and conflict‑resolution skills. Physical ability to walk, stand, stoop, bend, sit, lift light objects, and operate a personal computer. Schedule Part‑time, variable shifts, 10 weekly hours. #J-18808-Ljbffr