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