Prn - Nurse Case Manager

Job Description
General Summary
Under supervision of the Case Management Leadership, will manage and oversee the comprehensive assessment, planning, implementation, monitoring, and overall evaluation of individual patient needs. A Case Manager assists in identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. A Case Manager will provide care management and coordination of care for patients across various diseases. A Case Manager will focus on achieving patient wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Overall, the Case Manager will promote direct communication with the patient, and appropriate service personnel, in order to optimize outcomes.
Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Demonstrated knowledge and skills to provide care appropriate to the age of patients served. Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient’s requirements relative of his or her age-specific needs
Knowledge of medical records and the ability to interpret contents and relay information to payer and others as needed is required
Ability to identify problems, develop course of action and follow through to resolution is required
Ability to communicate effectively and positively, both written and verbally, with staff, physicians, other hospital personnel, patients and the general public required
Ability to ensure the confidentiality and rights of patients and the confidentiality of hospital and departmental documents required.
Duties include:
Performing utilization management
Assessing, planning, implementing and evaluating patient care and education
Coordinates patient discharge