What are the responsibilities and job description for the Case Manager - (FT) position at Citizens Medical Center?
JOB SUMMARY
A Case Manager has the responsibility, accountability and authority for providing comprehensive case management for patients. Responsible for daily patient care coordination with other members of the healthcare team, assessment of patients' level of care needs, and communication of patient's needs to the other providers regarding discharge planning. Serves as liaison and assists in the resolution of issues that cross multiple departments and/or services to ensure optimal quality, cost and service/outcomes.
Job Specific:
- Assesses and evaluates patients discharge planning needs and documents timely in the patient’s Medical Record. (EF)
- Communicates timely with patients, physicians and nurses to identify post discharge services needed by patients.
- Identifies issues that may delay patient discharge and facilitates timely resolution of these issues. (EF)
- Develops and documents a post discharge care plan in conjunction with other members of the health care team.
- Coordinates care post discharge with physician, insurance carrier, post-acute providers, patient and family. (EF)
- Provides medical information appropriate to establish smooth transitions of care.
- Collects data about patient's progress and modifies discharge plans based on changes in patients' plan of care.
- Completes all documents required by payors and regulatory agencies timely and accurately. Identifies and manages – Resource Management issues. (EF)
- Assists with orientation of new personnel.
- Completes timely Utilization Review (level of care criteria reviews and insurance reviews). (EF)
Hospital:
- Adheres to organization-wide and other applicable policies and procedures.
- Day-to-day performance complies with the hospital’s Service Excellence Behavioral Expectations.
- Performs within the prescribed limits of the hospital’s Ethics, Compliance and Confidentiality Program guidelines.
- Performs within professional Scope of Practice at all times.
Other Duties as Assigned:
Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
EDUCATIONAL REQUIREMENTS
Required: Associate’s Degree in relevant field
Preferred: Degree in Social Work or Nursing, Bachelor of Science degree in Nursing
EXPERIENCE
Required: Hospital or healthcare experience
Preferred: 1-2 years of hospital case management experience
SPECIAL SKILLS AND ABILITIES
Required: Effective verbal and written communication skills, direct patient care experience, or Social Worker experience.
Preferred: Healthcare reimbursement knowledge
LICENSURE / CERTIFICATION REQUIREMENTS
Required: RN, LVN or LSW (other relevant healthcare registries/licenses/certifications will be considered)
Preferred: LMSW, CPCM, CPUR, CCM
COMPANY PROFILE
Citizens Medical Center is a not-for-profit, community hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 317-bed acute care hospital with over 1,200 employees. Voted “Best of the Best” hospital in Victoria for 14 consecutive years, Citizens Medical Center is a level III Trauma Center, with a newly renovated 24/7 Emergency Department that includes an onsite medical helicopter. Citizens has a comprehensive Community Cancer Program that includes two linear accelerators and HDR brachytherapy. Citizens is recognized for its outstanding cardiology program which includes a nationally accredited Chest Pain Center and is a Primary Stroke Center. Citizens also includes a comprehensive, accredited Bariatric Surgery program, Birth Center with labor and delivery, an imaging and surgery center, sleep study center, state-of-the-art rehabilitation and fitness center, urology center and daVinci robotics minimally invasive surgery options, a home health agency, and has a long history of providing continuing education for healthcare providers and the community.
Citizens Medical Center is looking for employees who actively demonstrate service excellence by exemplifying our iCare values. If you are someone who displays respect and enthusiasm for patients, visitors, and coworkers while consistently upholding the hospital’s commitment to providing outstanding outcomes, service excellence, and fiscal responsibility, then you could be a good fit for the CMC team!
BENEFIT OFFERINGS
Health
- Medical, Dental, Vision
- STD, LTD Disability
- Supplemental Life, AD&D
- Flexible Spending (FSA)
- Employer paid life insurance and short term disability
Retirement/Investment
- Defined Benefit Pension Plan
- 457(b) Deferred Compensation
Well-Being Benefits
- Paid Time Off
- Sick leave, Bereavement leave, Jury Duty/Witness Service
- Tuition Reimbursement
- Hospital-paid & administered annual immunizations
- HealthPlex (gym) membership discount
- YMCA partnership discount for childcare
- Employee Assistance Programs
