Case Manager II/Exempt

Case Manager II

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.

The Case Manager II is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter-dependent communication and collaboration with the patient, caregiver, physician and other members of the health care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost effective outcomes appropriate to patient's needs and resources. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview

The Case Manager II is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter-dependent communication and collaboration with the patient, caregiver, physician and other members of the health care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost effective outcomes appropriate to patient's needs and resources. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

• Performs and participates as part of the Case Management team to support a collaborative effort to facilitate quality patient care. This role integrates and coordinates various aspects of service delivery, care facilitation, payor authorizations, service access, discharge and post-discharge activities, and utilization review.
• Identifies patients that meet criteria for case management services using an appropriate screening and assessment process.
• Communicates necessary information to stakeholders and educates patients and families.
• Plans effectively to meet patient needs, manage authorizations and length of stay, and promote efficient utilization of resources (fiscal, human, environmental, equipment and services).
• Maintains reliable systems to document, track, and monitor assigned cases.
• Performs other job functions as assigned or requested.

Education/Formal Training Requirements

• Required - Bachelor's Degree Nursing
• Preferred - Associates Degree Nursing
• Preferred - Master's Degree Nursing

Work Experience Requirements

• Required - Case Management 1-3 years
• Required - Clinical healthcare (acute or hospital) 3-5 years
• Preferred - Substitutions allowed: In lieu of Bachelor's degree, the candidate must have an Associate's degree in Nursing with minimum seven (7) years of combined clinical and Case Management experience 7-9 years

Licenses and Certifications Requirements

• Required - Registered Nurse Tennessee - Tennessee Board of Nursing
• Required - Accredited Case Manager - American Case Management Association
• Preferred - Registered Nurse Mississippi - Mississippi Board of Nursing
• Preferred - Registered Nurse Arkansas - Arkansas State Board of Nursing
• Preferred - Case Manager - The Commission for Case Manager Certification

Knowledge, Skills and Abilities

• Working knowledge of case management techniques.
• Demonstrated oral and written communication skills required.
• Demonstrated ability to develop and maintain working relationships with physicians and work collaboratively with health professionals at all levels to achieve established goals.
• Demonstrated excellent facilitation skills.
• Ability to plan and schedule tasks and to maintain control of own work flow.
• General computer skills required, advanced computer skills preferred.
• Ability to use initiative in decision-making; independent judgment and critical thinking skills

Supervision Provided by this Position

• There are no supervisory responsibilities assigned to this job; may delegate to UR Specialists and Social Workers, if applicable.

Physical Demands

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• Frequent non-invasive patient contact
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
• This role may be scheduled for weekend and holiday rotations as required by the department.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.