Hospital - Case Manager

The Case Manager will coordinate activities that promote quality outcomes, patient throughput, and discharge planning while supporting a balance of optimal care and appropriate resource utilization. The Case Manager will identify potential barriers to patient throughput and quality outcomes minimizing delays in discharge plans.

• Conduct psychosocial assessments to identify patient needs and develop appropriate care plans.
• Collaborate with physicians, nurses, and other healthcare professionals to ensure coordinated and comprehensive patient care.
• Participate in interdisciplinary team meetings and contribute to care discussions and decision-making processes.
• Assist patients and families with discharge planning, including arranging for home care services, rehabilitation, or other necessary follow-up care.
• Advocate for patients' needs and preferences, ensuring their voices are heard and their care preferences are respected
• Address any issues related to patient rights, access to care, or ethical considerations in collaboration with the care team and hospital leadership..
• Coordinate with community resources and agencies to provide patients with additional support.
• Serve as a liaison between patients, families, and the healthcare team, addressing any concerns or questions related to care and treatment
• Provide guidance and support to patients and families regarding care options, resources, and follow-up plans.
• Provide education to patients and families about available resources and services
• Develop and implement support groups or educational programs for patients and families.
• Monitor patient progress and adjust care plans as necessary to achieve optimal health outcomes.
• Document patient assessments, care plans, and progress notes accurately and in a timely manner. Maintain accurate and confidential patient records and documentation
• Ability to work effectively as part of an interdisciplinary healthcare team.
• Ability to advocate for patients and navigate complex healthcare systems.
• Strong assessment and problem-solving skills.
• Ability to work collaboratively and flexibly with a diverse team
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner
• Ability to provide empathetic and non-judgmental support to patients and families.
• Thorough understanding of medical terminology and hospital procedures.
• Familiarity with community resources, support services, and public assistance programs.
• Ability to manage multiple priorities, effective organizational and time management skills, along with strong teamwork skills.
• Demonstrated proficiency in the use of Electronic Medical Record and Case Management software.
• Effective computer skills using Microsoft Office (Word, Excel, PowerPoint, etc.) and database software.
• LMSW or RN license required upon hire.

Education

• Bachelor's in Nursing or
• Masters Social Work