Responsible for oversight of the case management department. Assumes responsibility and accountability for the coordination and implementation of case management strategies pursuant to the Case Management Plan. Plans and coordinates care of patients from pre-hospitalization through discharge. Coordinates the discharge planning function in conjunction with the social worker, admissions coordinator and assists the DPCS with screening, investigation and problem solving as needed.
Oversees and directs the activities of the case management department.
Responsible for leading and coordinating performance improvement initiatives with the Director of Quality.
Consults other departments, as appropriate, to collaborate in patient care and performance improvement activities. Collaborates with other departments to identify operational problems and develop solutions/resolution.
Assist and provides input to Director of Quality in regards to performance management of team.
Performs intake assessment on patient within 24 to 72 hours of admission.
Performs follow-up assessments per Case Management Plan and/or hospital policy.
Utilizes clinical pathways whenever ordered by physician, to facilitate coordination of patient care.
Plans patient care in collaboration with all members of the healthcare team. Active participant in patient and family conferences.
Keeps patient and designated family member/responsible person informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge. Functions as a patient/family advocate.
Assists with the utilization management function.
Orders and arranges for home care equipment, follow up care and healthcare needs following rehabilitation stay.
Works with third party payers to validate need for patient care and home care environment needs.
Educates patient and family on all aspects of patient's hospitalization and continuing care.
Reviews patient care activities for occurrences and trends that affect the quality, cost effectiveness and delivery of services. Assures that the outcome of review is appropriately maintained in the computer database.
Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, insurance carriers and the leadership team.
Demonstrates an ability to be flexible, organized and function under stressful situations.
Follows state and federal requirements regarding discharge planning.
Documentation meets current standards and policies.
Responsible for discharge planning; assures patient returned from hospital to safe environment.
Maintains optimal continuum of patient care through efficient and effective planning, assessing and coordination of healthcare services.
Other duties as assigned
Social Work License or Registered Nurse licensure in AZ
Minimum of 2 years social work or case management experience; acute/rehabilitation hospital experience preferred
Previous leadership or supervisory experience highly preferred
Job : Case Mgmt/MDS Primary Location : AZ-Chandler-CHC PR & MSA-DIGNITY-KINDRED REHAB HOSP EAST VALLEY LLC Organization : 3199 - CHC PR & MSA-DIGNITY-KINDRED REHAB HOSP EAST VALLEY LLC Shift : Day