Job Summary :
The purpose of a case manager is to promote an optimal level of social/emotional functioning and to enable wellness patients to appropriately utilize health care and other services to achieve their optimal level of health. The case manager recognize that the relationship between psychosocial factors and illness influence the patient's recovery.
Through provision of patient centered assessments and brokering for post-acute services the case manager identifies variables the can or will effect optimal transition from the hospital. Collaboration with the interdisciplinary team, the patient, loved ones, and through mobilization of community services personal and professional resources the work of the case manager can substantially reduce hospital and patient cost, decrease readmissions and improve the quality of life for patients.
1.Discharge screening, evaluation, development and implementation of the discharge plan
2.Reassessment of plan and monitoring for changes in condition
4.Crisis intervention/adjustment to illness/bereavement
5.Resource brokering (SNF, home care, hospice, infusion, LTAC, DME, etc)
6.System integration/continuity of care and interdisciplinary collaboration
8.Chemical dependency and mental health assessments and referral to treatment
9.Readmission assessments and Quality Steering Reports
10. Medicare Important Message and Observation letters
11. Abuse (adult, child, sexual, domestic violence) assessments and referrals
12. QAPI audits (as determined by Quality Steering current dc tool audits)
13. Outpatient case management requests beyond PREP, ONC and NEW LIFE
14. Float as assigned by TOC clinical manager and TOC team leaders
15. Counsel and information on advanced directives.
16. Participation in departmental, hospital and community meetings and initiatives concerning transitions of care.
17. Daily productivity measures.
18. Maintain current Indiana Social Work or RN licensure
19. Certification(s) in case management recommended
Education and Experience Required:
1.Master's Degree (within 1 year) in Social Work from an accredited college or university or Bachelor's Degree (within 1 year) in nursing from an accredited college or university.
2.Broad responsibility directly related to work experience in clinical, administrative and managerial positions in healthcare or related field.
LCSW - Licensed Clinical Social Worker credential from the State of Indiana, Professional Licensing Board or RN Registered Nurse credential from the State of Indiana, Professional Licensing Board.
Work Shift :
8:30am 5:00pm (United States of America)
Scheduled Weekly Hours :
Hendricks Regional Health