Job Description
Job Summary:
The Case Manager is responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes. Responsible for the coordination of care, utilization review, acting as a resource to patients, family and/or significant others and staff; referrals to clinical social worker for psycho-social issues and complicated discharge planning issues; overseeing coordination of post-hospital care needs; interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services.
Licensure and Certification:
Current CA RN license
CMGT-BC certification preferred
Current BLS provider card
Education:
Diploma RN or BSN degree
Experience:
Two years as a Case Manager in a behavioral health inpatient setting and/ or three years acute care experience.
Strong interpersonal skills, leadership, negotiation skills, good leadership talent, and knowledge of hospital operations. General knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
Knowledge and Skills:
Develops, maintains, and models professional, objective and value-oriented interpersonal skills. Continuously promotes a patient-centered philosophy.
Maintains positive and proactive communication with patients, families, staff members, and physicians.
Fosters team-building relationships. Excellent organizational skills and the ability to problem solve are essential.