The Case Manager assumes clinical management and outcomes of high cost/high risk patients by working wit health care providers, patients and families to develop cost effective plans of care. Assists with comprehensive care planning, implementation of care plans, communication and evaluation of progress towards goals. Ensures appropriate level of patient/family health knowledge for discharge and performs hospital stay precertification.
Maintains an awareness of an ongoing compliance with applicable laws, regulations and policies and procedures in area of responsibility.
Improves patient satisfaction. Uses obtained data to identify performance improvement opportunities for case management service area. Reports to CNO any complaints received from patients or their representatives for prompt service recovery and follow up.
Improves physician satisfaction by identifying and reporting needs of the physician that will enhance efficiency of the service area.
Develops and implements a patient discharge plan in coordination with the patient/family/caregiver and with their preferences in mind. Performs on-going assessment for any discharge needs and follow- up appointments.
Reviews all patient stays for appropriate admission criteria and levels of care. Keeps physicians informed regarding review results.
BLS certification required. Must hold RN IL License. In-Patient Acute Care setting experience is preferred. Case Management experience preferred.
Shift: 6:30 am
3:00 pm Monday
MMH is and equal opportunity employer
Massac Memorial Hospital