Case Manager RN

Karmanos Cancer Hospital Mount Clemens , MI 48043

Posted 1 week ago

Dept: Case Management

Hours per pay period: 80

Schedule: 8 AM - 4:30 PM

Position Summary:

Case Management Nurses function as a member of the interdisciplinary team in the provision of patient care with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction. Through an understanding of the patient's clinical condition, appropriate care delivery settings, and expected length of stay, the Nurse Case Manager advocates for the patient and family, assuring that the established standard of care and expected outcome are achieved in a timely manner and with the appropriate use of resources.


Essential Functions and Responsibilities:

Assessment:

  • Completes a comprehensive assessment to identify opportunities for intervention that are appropriate and realistic for the patient/family's psycho-social, cultural, spiritual, and physical plan of care.

  • Assess the patient's healthcare needs and goals; specifically targeting the physical, functional, psychosocial, environmental and financial status.

  • Communicates with Utilization Management and attending physician regarding appropriateness of patient admissions, utilization issues and when documentation does not support continued stay.

Planning/Implementation:

  • Demonstrates and understanding of medical necessity and intensity of service and incorporates payer requirements into the development of a safe, effective, and timely discharge plan.

  • Demonstrates an understanding of the patient's clinical condition, social, and financial resources in order to determine the most appropriate care setting, practice standards for evaluation, treatment delivery options (Home, SAR, SNF, LTACH), and resources required to support safe transition of care.

  • Coordinates the progression of care to ensure that the ongoing needs of the patient and family are adequately addressed.

Required:

  • Current State of Michigan Registered Nurse license

  • Three years of prior work experience in an acute care setting serving a similar population of patients or prior Case Management experience in an acute care setting.

Preferred:

  • Bachelor of Science in Nursing strongly preferred.

  • Professional certification as a Case Manager

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Case Manager Qmhp (039)

Hope Network

Posted 2 weeks ago

VIEW JOBS 10/4/2020 12:00:00 AM 2021-01-02T00:00 About Us Hope Network Behavioral Health Services (BHS) provides a full range of services for persons with severe and persistent mental illness and/or individuals with emotional well-being needs to achieve a maximum level of independence, community integration, and satisfaction with life. Our continuum of care stretches across the state assisting persons with intensive and varying acuity needs. Whether someone needs 24 hour therapeutic supports, personal care, community living support, benefit and service brokering, brief or short-term counseling, or any of our many community services, our behavioral health team is there to serve. We do all of this because we believe every person can be more, can do more, can go further than anyone ever imagined. We help people overcome. Overview The Case Manager is a key associate at Hope Network whose primary responsibilities include: Coordinate all services necessary to maximize consumer recovery and independence for individuals with mental illness. In a residential or clinical setting, provide clinical and program consultation to direct care staff. Ensure case management compliance with agency standards and the practice model. Assist consumer to improve quality of life and maintain the highest possible ability to recover and function within the community. Implement strategies for obtaining services and supports that are goal-oriented and individualized. Summary ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: This is not intended to be an exhaustive listing of job functions. This job description in no way states or implies that these are the only duties to be performed by this employee. The employee is required to follow any other instructions and to perform any other duties as assigned by management. 1. Regular and predictable attendance is an essential requirement of this position. 2. On-call twenty-four hours each day, seven days each week and is able to respond in emergency situations. 3. Support and encourages the population served to reach their full potential. 4. Coordinate and ensure consumer involvement in the Person Centered Planning Process (PCP), self-determination, recovery and relapse prevention. Facilitate the implementation of Individual Plan of Service. 5. Provides consultation to direct care staff regarding clinical and program issue, where applicable. 6. Facilitate the coordination of consumer intakes, discharges, and transfers to and from other facilities programs, agencies. 7. Support the engagement of meaningful activities by coordinating and monitoring service activities such as a job, school, volunteerism, family caretaking, for persons-served. 8. Maintain consumer records-meeting all appropriate standards according to company policies ad all regulatory bodies. 9. Perform comprehensive psychosocial assessments to determine needs and required level and frequency of medically necessary services. 10. Meet with assigned consumers face-to-face as deemed medically necessary in their Individual Plan of Service. 11. Communicate with all services providers in Treatment Plan; coordinate to avoid duplications; monitor to ensure services are being delivered according to expected frequency and intensity. 12. Facilitate hospitalizations as needed and monitor progress by attending hospital medical/team meetings and coordinating with hospital social worker. 13. Conduct ongoing assessments of persons-served and evaluate effectiveness of Treatment goals for recovery and interventions. 14. Participate in legal proceedings including petitioning and testifying in clinical emergencies. 15. Promote a recovery centered environment and provide referral to appropriate community resources. 16. Facilitate access to community resources and social support networks for persons-served. 17. Utilize his/her technical skills and knowledge to analyze and recommends strategies for recovery. 18. Acts in a helpful and professional manner with internal and external customers. Works independently and as part of a team. 19. Acts as a positive role model and coach for persons being served in all programmatic and organizational activity. Requirements Educational / Talent Requirements: 1. Bachelor's degree in related field from an accredited institution is required. Master's degree is preferred. 2. Licensed Bachelor's Social Worker (LBSW) certificate preferred. 3. Demonstrated ability to communicate in both written and verbal format to meet the position responsibilities. 4. Demonstrate good moral character and even temperament necessary to gain and maintain credibility and trust of persons being served, peers, and management staff. 5. Ability to schedule or plan work in advance and set effective and realistic timelines to meet goals. Work Experience Requirements: 1. Prior case management in a mental health or rehabilitation setting preferred. 2. 1 year of experience with SPMI population if working in a crisis setting 3. 3 years of experience with children if working in a children's setting. 4. 4+ years of case management with both children and adults preferred. 5. Experience in one or more specialties: IDDT, Addition/ Prevention, children's services, and American Sign Language preferred. 6. Maintain a valid motor vehicle operator license with acceptable driving record according to Hope Network insurance carrier definitions. Shift 1st Position Type (Portal Searching) Regular Full-Time Hope Network Mount Clemens MI

Case Manager RN

Karmanos Cancer Hospital