What are the responsibilities and job description for the FT Case Manager position at LifePoint Corporate?
Position Summary
Conducts high-risk screening for discharge planning needs; conducts discharge planning evaluations and provides interventions to those patients with identified needs a safe and timely transition of care through the continuum. Assures the utilization management functions of the hospital by completing screening of admission, continued stay and discharge planning, under the direction of the Utilization Management Committee.
Minimum Qualifications
- Current Licensure in the State of Oregon as Registered Nurse, Licensed Practical Nurse, or bachelor's degree in social work preferred.
- Bachelor's degree in nursing, social work, or other relevant health related field.
- Minimum of three years clinical experience required.
- Preferred two years of utilization review, or case management experience.
- Strong computer skills with Microsoft office, Excel. electronic medical records software and other database software
- Strong interpersonal skills with many different types and levels of authority
- BLS required
Essential Job Functional
- Understands and applies Utilization Review Principles and Guidelines
- Understands and applies DC Planning principles and guidelines
- Completes admission review for all assigned patients within 24 hours of admission for proper status, applying hospital used criteria.
- Screens all patients for continued stay and discharge clearance in accordance with hospital and/or insurance company requirements
- Assures that insurance companies and other entities are notified appropriately of the patient’s clinical condition to assure payment of claim and proper authorization are obtained.
- Participates as a contributing member of the WVMC interdisciplinary team.
- Effective communication and information flow, particularly in relation to communication with physicians regarding patient status.
- Psychosocial Assessments of patient and family as it relates to safe discharge plans
- Knowledge of Community Resources and strong networking
Knowledge, Skills and Abilities
- Demonstrate sound judgment, patience and maintain a professional demeanor at all times
- Ability to work in a busy and stressful environment
- Organizational skills and the ability to prioritize
- Strong interpersonal verbal and written communication skills
- Creativity, problem analysis and decision making
- Ability to work varied shifts
WVMC is an Affirmative Action, Equal Opportunity Employer. If you have a special need or seek accommodation to aid your participation in our hiring process, please contact us at (503) 472-6131
