Full employer posting
The Care Manager II collaborates with patients, families, physicians, and multidisciplinary team members to facilitate patient care and create a comprehensive plan from admission through discharge. This role focuses on optimizing patient flow, ensuring continuity of care, and managing patient satisfaction and safety. Responsibilities include comprehensive assessments, planning, implementation, and evaluation of individual patient needs along with care coordination and discharge planning.
Coordinate the integration of case management functions within the patient care and discharge planning processes. Manage patient care progression throughout the continuum of care efficiently and cost-effectively. Advocate for patients, supporting them in treatment decisions and end-of-life issues.
Monitor patient length of stay, identifying and communicating barriers to discharge. Implement and evaluate the patient’s plan of care to ensure service effectiveness and appropriateness. Identify and address local and systemic barriers hindering diagnostics or treatment progress.
Proactively resolve discharge delays and obstacles. Collaborate with medical, nursing, and ancillary teams to enhance the delivery of care. Conduct interviews with patients/families to gather information on social, emotional, and financial factors impacting health status.
Assess needs for post-discharge support and resource coordination, making recommendations for follow-up care. Begin discharge planning at admission and refer post-hospital services based on assessments. Negotiate and coordinate resources with payors, agencies, and vendors as a patient advocate.
Ensure effective communication of care plan elements to patients, families, and healthcare team members. Promote understanding and respect for cultural diversity in patient interactions. Assess patient support systems and available community resources.
Engage directly with patients/families to create and maintain individualized care plans. Provide education and support related to patients' care goals. Participate in clinical performance improvement activities related to length of stay and resource utilization.
Document interventions and patient interactions per regulatory and departmental guidelines. Contribute to special projects as needed and support peers as a preceptor or orienter.
Graduate of an accredited school of nursing (BSN preferred) or a Master's Degree in Social Work (MSW) required. Minimum of 2 years of clinical experience with one year in an acute care environment preferred. Active RN or LMSW license in the state of practice is required.
LBSW may be acceptable for candidates with over 5 years of experience in a comparable role. Certification in Case Management is preferred. BLS certification is preferred.
Work
Full-time position requiring commitment to 5 days of 8-hour shifts with potential adjustments for case completion. Physical
Ability to navigate within hospital settings as required. Capability to manage responsibilities independently while exercising sound judgment. Must possess excellent communication skills and demonstrate critical thinking abilities.
Ability to function effectively in a fast-paced, high-stress environment.
About the role
The Care Manager II collaborates with patients, families, physicians, and multidisciplinary team members to facilitate patient care and create a comprehensive plan from admission through discharge. This role focuses on optimizing patient flow, ensuring continuity of care, and managing patient satisfaction and safety.