What are the responsibilities and job description for the Case Manager position at McLaren Bay Region?
About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Case Manager
Michigan, Bay City
NEW
Health Professional
McLaren Bay Region
25000481
Coordinates, negotiates, procures and manages the care of an assigned patient population. The objective is to facilitate quality clinical outcomes, promote patient satisfaction, assist in managing length of stay and oversee the discharge planning process.
Essential Functions and Responsibilities:
- Conduct reviews for medical necessity on admission and for continued stay to ensure patients meet criteria for hospitalization.
- Obtains authorizations for hospital admission from payers when required.
- Conducts a comprehensive assessment of the patient’s physical health status, functional capability, mental status, psychological needs, personal and community support, financial resources, and environmental conditions to develop and coordinate interventions needed to reduce barriers and formulate discharge plans.
- Establishes course of action by exploring options; setting goals with client.
- Obtains assistance for the patient by referring him/her to community resources.
- Documents in the medical record: assessment, goals, plans, interventions, barriers and reassessments as necessary to facilitate discharge.
- Maintains effective operations by following policies and procedures; participating in quality reviews; reporting needed changes.
- Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
- Complies with federal, state and local legal and certification requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions.
- Performs other related duties as required and directed.
REQUIRED
Bachelor's degree in social work
State licensure as a Social Worker
PREFERRED
Masters Degree in Social Work
Utilization management (review) and discharge planning experience
Certification in Case Management, either CCM or ACM (Commission for Case Management or American Case Management Association)
Basic Life Support (BLS) certification as a Healthcare Provider or equivalent through the Military Training network (MTN)
Basic Life Support (BLS) certification as a Healthcare Provider or equivalent through the Military Training network (MTN)
Additional Information
- Schedule: Full-time
- Requisition ID: 25000481
- Daily Work Times: 8:00am-4:30pm
- Hours Per Pay Period: 78
- On Call: No
- Weekends: No
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
