Case Management Admission Specialist

Covenant HealthCare

US:MI:SAGINAW

DAY SHIFT

FULL TIME BENEFITED

Summary:

The purpose of the Case Management Specialist-Admission Assessment Specialist is to work through a queue of newly admitted adult patients to help facilitate throughput with a focus on areas of the hospital with throughput challenges, as assigned by Case Management Leadership. The Admissions Specialist will have thorough communication with the unit specific Case Management Specialists to communicate the potential for post-discharge needs of the patient.

The Admissions Specialist will work to develop organization-wide approaches to problem solving, analyzing current systems and variances to identify opportunities for improvement and work to promote quality of care through collaboration with all service team members, patients, and families. Work with leadership team to align the Goals and Vision. If admissions are completed or there are critical levels of staffing, the Admissions specialist may be assigned to a clinical patient area. Demonstrates excellent customer service performance in that his/her attitude and actions are consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.

Responsibilities:

• Perform admission assessments efficiently and effectively, meeting measurable targets as determined by leadership. • Communicate/collaborate with unit-based Case Management Specialists when patient needs are identified in assessment. • Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery. • Assists patients and families to cope with hospitalization and may help with tangible needs that impact on their ability to support the patient or contribute to a safe discharge plan for the patient.
  
  This may include assisting families with lodging or basic needs or helping families to access appropriate resources for these needs as well as provide psychotherapeutic interventions (SW), crisis intervention (SW), bereavement counseling, education, interventions to restore the capacity for social functioning, referral, coordination of services and advocacy. • Facilitate transfer of patients to the most appropriate level of care and in accordance with CMS Discharge Planning regulations. • Coordination of care for the patient during their hospital stay and effect appropriate and timely transition to sub-acute setting that best meet the patient's needs. • Coordination of communication with physicians. • Float to other units where support is needed by another Case Manager. • Participate in Process Improvement methodologies in evaluating outcomes of care and interventions. • Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient population served. • Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles. Specific age groups that are served by this position are noted below: o Neonatal/Newborn (birth

• 30 days) - PEDS, NICU, OB, ECC o Infant (30 days

• 1 year) - PEDS, NICU, ECC o Pediatric (1

• 12 years) - PEDS, ECC o Adolescent (13

• 17 years) - OB, M/S, CC, ECC o Adult (18 - 64 years) - OB, M/S, CC, ECC o Geriatric (65+ years) - M/S, CC, ESS • Serves as a patient and family advocate. • Contributes to organizational targets for length of stay reductions overall and for Hospital Medicine. • Builds relationships within the organization serves as a resource to the healthcare team related to discharge planning. • Collaborates and facilities multidisciplinary rounds and care with physicians and all other members of the team including the patient and their family to ensure continuity, timeliness, and appropriateness of care for designated case load. o Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective. o Ensures timely completion and reporting of diagnostic testing, initiation, and completion of treatment plan and all required documentation. o Facilitate and coordinate transfers of patients to other facilities. • Reviews cases for quality or risk management issues and intervenes when indicated. • Involved in the process of presenting notices of non-coverage. • Maintains an understanding of reimbursement methods and monitors cost-effective care, therefore, preventing duplication or fragmentation of care and curtailing operational and clinical delays. • Identifies patients with potential for extended length of stay or variances and collaborates with multidisciplinary teams to develop interventions to correct the issues. • Evaluates effectiveness of interventions on outcomes that measure cost and quality such as LOS and variances from expected outcomes. • Interprets patient response and collaboratively identifies interventions to maximize positive outcomes. • Works with the Healthcare team to demonstrate fiscal responsibility by being conscious of the need to appropriately use the resource dollars available and identify and pursue opportunities. • Helps to implement standards of care, standards of practice, hospital policies and critical pathways. • Through case management efforts, assists in meeting all accreditation and licensing processes. • Actively prepares and participates in accrediting agency surveys. • Assists in planning, implementing, and evaluating quality improvement. • Manages conflict effectively, striving for win-win outcomes. • Engage in continuing education to improve knowledge, skills and maintain CEU's for licensure. • Maintains patient confidentiality according to all applicable laws, policies, and regulations. • Other duties as assigned.

Other information:

EDUCATION/EXPERIENCE REQUIREMENTS • RN with current license in State of Michigan • RN with a Minimum of associate degree in nursing with 2 years of bedside nursing, 5 years in an acute care setting and 5 years of case management experience • OR RN with a bachelor's degree in healthcare related field or will be working toward completion of bachelor's degree within 6 months and completion of program within 3 years, minimum of 3 years clinical experience. • Or a master's degree in social work from an accredited school of social work is required. • Current master's level SW clinical license with State of Michigan required or able to obtain within 6 months of hire (Licensed or Limited License). • Minimum of three years' experience in a healthcare facility or related community agency preferred. Charge responsibility experience strongly preferred.

KNOWLEDGE/SKILLS/ABILITIES • Demonstrated clinical competence. • Has exceptional understanding of the disease process and treatment regimens associated with designated patient populations. • Maintains current knowledge by attending conferences, seminars and reading journal or research articles. • Demonstrates critical thinking skills, analyzing multiple issues impacting outcomes. • Excellent problem-solving skills and the ability to manage many situations simultaneously. • Able to adjust to priorities that may change minute by minute. • Strong commitment to collaboration and teamwork, with demonstrated ability to work as a member of a team where assignments must be coordinated with peers. • Demonstrates good computer skills. EPIC experience strongly preferred. • Demonstrates excellent communication skills, negotiation skills, diplomacy, and assertiveness Has a solid understanding of the Healthcare industry, technology, and regulations. • A professional approach to work, including a strong sense of responsibility for assigned duties. • Demonstrates excellent customer service and communication skills. • Ability to work independently as well as a part of a multidisciplinary team and exercise sound judgment in interactions with physicians, payors, and patients and their families. WORKING CONDITIONS/PHYSICAL DEMANDS • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state, and local standards. • Frequent standing, walking, sitting, talking, hearing. • Occasional lifting to 100 or more lbs. • Occasional carrying, pushing, climbing, balancing, stooping. • Occasional kneeling, crouching, squatting, crawling, twisting. • Occasional reaching, handling, feeling, near vision. • Occasional midrange vision, far vision, depth perception. • Occasional visual accommodation, color vision, field of vision.

NOTICE REGARDING LATEX SENSITIVITY IN APPLICANTS FOR EMPLOYMENT.

It has been determined that Covenant HealthCare cannot provide a latex safe or latex free work environment at any of its facilities. Unfortunately, that means that any individual, including an applicant or an employee, is likely to be exposed to latex while on Covenant's premises. Therefore, latex tolerance is considered to be an essential function for any position with Covenant.