Case Manager, Sr. coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Being a Case Manager, Sr. evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Additionally, Case Manager, Sr. identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for conducting utilization reviews. Typically requires a bachelor's degree of Nursing. Typically reports to a head of a department/unit. Requires Registered Nurse (RN). The Case Manager, Sr. contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Case Manager, Sr. typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
POSITION SUMMARY:
Manages the care of assigned patients from intake through discharge, and follow up. Coordinates the delivery of services to patients and families; manages the financial resources of the patient by acting as the liaison to the payer source and assuring cost-effectiveness of the treatment provided by the team. Facilitates and coordinates team conference reporting and the discharge planning process. Serves as the patient and family advocate to coordinate and direct effective communication regarding the patient’s care; performs post-discharge follow-up.
QUALIFICATIONS:
Education: Bachelor’s Degree or Master’s Degree in Nursing, Social Work or Human Services related field, or previous qualified experience preferred. Knowledge of case management principles, a strong understanding of different funding sources and rehabilitation services is desired.
Experience: One to two years of case management experience preferred. Demonstrated proficiency in written and verbal communication. Demonstrated ability to facilitate group processes to achieve clearly defined patient goals, objectives, and responsibilities. Attention to detail and follow-through necessary. Ability to effectively communicate with a variety of individuals, including the patient and family, funding source, physician, rehabilitation team, community resources, and other disciplines, as necessary.