Director Of Case Management
Experience: 2 25 Years
Graduate of a Program in Nursing at a Bachelor of Science level or higher required
Certifications: BLS required
Arizona Registered Nurse and/or Compact State Registered Nurse required
A minimum of 2 years as director of Case Management in a critical care hospital required
Job Description:
The position will provide ongoing support and expertise aligned with a strategic plan to the Medical Center through comprehensive assessment planning implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integrating and functions of case management utilization review and management of discharge planning. Accountable for the care coordination and discharge planning of all patients.
Promotes the mission vision and values of the organization
Assists in developing specific departmental goals standards and objectives which directly support strategic plan and vision of the organization. See the detailed Leadership Responsibilities outlined below that outline Strategic Planning Leadership Human Resources Management Financial Management and Performance Improvement/Safety.
Coordinate the integration of social services/case management function into the patient care discharge and home planning processes with other hospital departments external service organizations agencies and healthcare facilities.
Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff TJC CMS and other state agencies. Acts as patient advocate: investigates and reports adverse occurrences and performs staff education related to resource utilization discharge planning and psychosocial aspects of healthcare delivery.
Mobilizes resources and interviews as needed to achieve expected goal to assist in achieving desired clinical outcomes within the desired timeframe.
Ensure that patient test are appropriate utilization of services from admission through discharge.
Evaluate patient satisfaction and quality of care provided.
Initiates and presents denial letters as appropriate
Asses patient care required throughout continuum of care for diagnosis procedures and DRGs
Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship.
Assist physicians to maintain appropriate cost per case and desired patient outcomes.
Introduces self to patient and family and explains clinical case manager role and process for patient and family to contact clinical case manager.
Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals optimize resource utilization provide family education and identified posthospital needs.
Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals.
Directs and participates in the development and implementation of patient care policies and protocols in order to provide advice and guidance in handling special cases or patient needs.
Coordinates the provision of social services to patients families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
management,critical care,case management,healthcare,interdisciplinary collaboration,healthcare policy development,discharge planning,patient satisfaction evaluation,patient care,patient advocacy,resource utilization,utilization review
Director Of Case Management
