Care Manager-Post Acute Resource Pool

Unitypoint Health Des Moines , IA 50301

Posted 2 months ago

Overview

This position works with the Rehab Care Manager team in a fast-paced, continuous learning, patient-centric environment to manage patients transitions between levels of care. Rehabilitation and skilled nursing knowledge is used to appropriately determine level of care needs, working with the patient care team to create a rehabilitation plan. A warm, caring personality, with exceptional communication skills is necessary to quickly build relationships with referral sources, patients and their families. Works with the acute hospital to identify appropriate referrals to post-acute and outpatient programs. Meets with patients and their families to create a plan transition, educating in preparation for the next level of care and recommending outpatient and community services to promote optimal functional and medical patient outcomes and best use of health care resources. Supports entry into Younker Rehabilitation at IMMC, Transitional Care (skilled level of care) at ILH, Outpatient Therapy and a variety of other programs to assist the patient and family in a successful transition home.

Responsibilities

Essential Functions/Responsibilities:

Essential functions are the duties and responsibilities that are essential to the position (not a task list). Do not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.

% of Time

(annually)

Clinical Excellence & Patient Care

  • Assess the individual's personal and medical history, current status, diagnosis, prognosis, treatment plan, knowledge base and rehabilitative potential to determine strengths, challenges, prognosis, functional status, goals, and needs for specific services and resources.

  • Develops a plan that identifies short-and long-term goals, and integration of the community re- entry plan. Involves the individual, family, and interdisciplinary collaboration across the continuum.

  • Evaluates trends in patient outcomes related to use of resources and leads to decrease use of non-beneficial resources.

  • Reports any questions or concerns regarding compliance immediately to the attention of department or organization/hospital administrative staff.

  • Manages resources effectively to meet the needs of persons served while eliminating waste. Discusses payment benefits with patient and family. Applies knowledge of payment options for various levels of care, balancing individual patient needs and service requirements with UPHDM resources.

  • Manages personal and professional skills and knowledge, sharing expertise with others to enhance the overall skill level of the profession.

  • Demonstrates initiative to improve quality and customer service by striving to exceed customer expectations.

  • Integrates and demonstrates CORE values and Expectations for Personal and Service Excellence to guide professional behaviors, while adhering to the policies and procedures of UPH-DM.

  • Balances team and individual responsibilities; open and objective to other's views; gives them welcome feedback; contributes to positive team goals; and puts the success of the team above own interests.

  • Demonstrates the knowledge that patient and workplace safety is a priority by preventing errors, accidents and infections and reporting potential or actual concerns immediately.

  • Demonstrates ability to meet business needs of department by regular, reliable attendance.

  • Practice reflects knowledge of CARF, DIA, HIPAA, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

  • Demonstrated accountability and skills in analysis, decision making, time management, and oral and written communications.

  • Familiarity with the resources available regarding the regulations and parameters of health care reimbursement.

  • Flexibility in learning and applying new methods of technology.
    90%

Basic UPH Performance Criteria

  • Continues professional development and involvement in professional activities that enhance nursing practice by sharing knowledge through networking and research.

  • Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

  • Demonstrates ability to meet business needs of department with regular, reliable attendance.

  • Employee maintains current licenses and/or certifications required for the position.

  • Practices and reflects knowledge of HIPAA, JCAHO, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

  • Completes all annual education and competency requirements within the designated time frame.

  • Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.

  • This position may be assigned a specific mission to address in an emergency situation to assist in disaster response and recovery as part of the UPHDM Hospital Emergency Incident Command System. Situations of a critical nature may require an individual to perform multiple tasks until additional support can be obtained.

  • Demonstrates initiative to improve quality and customer service by striving to exceed customer expectations.
    10%

Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Qualifications

Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.

Education:

Graduate of accredited nursing program

BSN degree

Experience:

A minimum of 2 years of healthcare experience required with demonstrated professional and technical competence, including experience in the rehabilitation of chronically or catastrophically ill or injured individuals.

Experience in managing complex health, disability and financial resources with person served.

Outgoing healthcare professional with a demonstrated ability to consistently work with unfamiliar individuals in a variety of community settings with little or no supervision.

License(s)/Certification(s):

Current licensure in good standing to practice as a Registered Nurse in Iowa.

Must possess and maintain current Basic Life Support (BLS) certification or obtain certification within three (3) months from date of hire.

Valid driver's license when driving any vehicle for work-related reasons.

Case Management, Care Coordination or other leadership approved specialty certification.

Knowledge/Skills/Abilities:

Writes, reads, comprehends and speaks fluent English.

Exemplary interpersonal and communication skills

Multicultural sensitivity.

Microsoft Office basic computer skills.

Customer/patient focused.

Critical thinking skills using independent judgment in making decisions.

Other:

Use of usual and customary equipment used to perform essential functions of the position.

Work may occasionally require travel to other UPH facilities. May drive a UPH vehicle, rental or own vehicle. Ability to consistently manage time with travel.


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Care Manager-Post Acute Resource Pool

Unitypoint Health