RN/LMSW Case Manager: Inpatient Units

RN/LMSW Case Manager: is responsible for the delivery of comprehensive care to a set of assigned patients at a specific point in time. This involves the assessment of patient and care team needs and the development, implementation and evaluation of an appropriate Plan of Care, making changes in response to changing patient needs.

RN/LMSW Case Manager: guides the utilization review process using recognized standards of care to assure appropriate medical necessity, level of care, patient status and related notifications are met.

RN/LMSW Case Manager: guides patient progression across the care continuum to ensure safe and timely transitions to the appropriate level of care.

• →Evaluates hospital admissions using evidence-based standards of care to assure care is medically necessary and delivered at the most appropriate level of care.
• →Communicates effectively with providers and care teams to ensure medical necessity and patient status are appropriately captures and documented.
• →Actively participates in multidisciplinary rounds as available.
• →Issues federal and state notices as indicated.
• →Serves as discharge planner for patients as assigned.
• →Assess patient risk for readmission, ability to self-manage and identifies community support systems as appropriate.
• →Ensures patient demographics, insurance, primary care provider, and advanced directives are up to date in EMR.
• →Facilitates referrals to support teams and community-based organizations.
• →Works to identify and eliminate barriers to discharge.
• →Is flexible in assuming other responsibilities not noted above.

Required Skills and Experience:

• BSN in nursing preferred
• Case Management Certification preferred

• Ability to stand, sit or ambulate for long periods. Ability to mobilize freely around units, transport self to site locations, and perform required data entry into EMR and alternate data management systems.

• Onsite