To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Case Manager has the primary accountability for the development, coordination and management of the patient's treatment plans in order to achieve successful outcomes.
Responsibilities: 1. Functioning as a leader for coordinating care efforts, the Case Manager works with payor sources, patients and team members to develop, deliver and monitor the quality of services provided and to improve outcomes through evaluation and revision of those services. 2. With the Nurse Manager, efficiently manage the care of the patient to promote optimal length of stay outcomes. 3. Case Manager shall manage groups of patients based upon service line designation throughout the continuum of care. This includes pre-hospitalization through post hospitalization 4. Case Manager shall evaluate patients referred for home care. Plans and coordinates care for Home Care patients utilizing knowledge of State, Federal and JCAHO regulations. Identifies insurance coverage and communicates coverage to patient/ family. Collects, maintains and reports statistical data on all referrals. Provides ongoing information on home care programs and services. 5. Case Manager follows up on complex cases and communicates with the patient/ family so to insure excellent quality of care continues once discharge has occurred. 6. The Case Manager uses his/ her skills to incorporate: assessment, planning, implementation, coordination and continuous evaluation of a patient on a daily basis. 7. The Case Manager insures that patients have their physical, psychosocial and vocational health needs met along the continuum of care. 8. Other duties and responsibilities as requested by Manager, Case Management Review.
Graduate of an accredited school of nursing and currently licensed by the State of Connecticut. BSN and Masters degree in Nuraing or Health Care Administration preferred.
Recent appropriate nursing experience, theoretical knowledge of the nursing process, case management and continuity of care. Advanced communication and interpersonal skills with all levels of internal and external customers. Ability to obtain and interpret information appropriate to patient needs and age. Advanced assessment and teaching skills. Leadership skills in planning and managing patient care as acquired through greater than 3 years of clinical nursing experience in an acute care hospital. Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics.
Case Manager should be able to exercise supervisory skills and demonstrate significant independent leadership as a participating member of the Interdisciplinary Collaborative Team. Case Manager is responsible for coordinating with the physician, the care provided to patients throughout episodes of illness and along the continuum of care.
Interfaces with physicians, staff, patients, their families/ significant others, other hospital departments, outside agency/ facilities, other contracted agencies, in a considerate, professional and timely manner.
Office, hospital units, on call for weekends required and will be rotated among the nurse case management staff. This may evolve to a part time weekend schedule if patient work load requirements mandate on-site coverage.
50% sedentary; sitting, standing, walking from unit to unit, carrying records, speaking before groups. Must be able to speak and hear in a manner understood by most people. Must be able to communicate effectively by telephone.