The Case Manager is responsible for providing leadership, positive role modeling and critical thinking skills. This position acts as advocate and helps people seeking help to foster their capacities and coping mechanisms in order to improve and better their daily lives and experiences within specified standards and timelines. The Social Worker will oversee and supervise the Life Enrichment (Activities) Department.
- Will see patients and complete a discharge planning needs assessment in a timely manner.
- Will pay specific attention to readmitted patients, at risk patients and/or resource intense patients.
- Assess patient/family adaptation to illness/disability and capacity to provide for patient care needs.
- Completes assessment of patient’s clinical course to provide ongoing patient care coordination.
- Verifies patient’s needs for acute hospital level of care.
- Identifies obstacles to discharge.
- Collaborates with providers, nurses and other disciplines involved with care of the patient to foster a coordinated approach to patient care.
- Communicates with providers regarding the medical plan of car, anticipated discharge, and consideration of alternative setting.
- Facilitates and impacts process issues to avoids delays in patient care.
- Intervenes with appropriate individual/departments regarding delays in service that may have an impact on quality of care and/or length of stay.
- Provides feedback to providers and DON’s regarding delays to constantly improve process.
- Function as a liaison to external agencies including but not limited to home health, physical therapy, assisted living or long-term care facilities, and public health.
- Focuses on patient’s goals and preferences and includes the patient and caregiver/support person as active partners in the discharge planning for post discharge care.
- The discharge planning process and plan must be consistent with the patient’s goals and his/her treatment preferences, ensure effective transition of the patient from hospital to post discharge care to help reduce the factors leading to preventable hospital readmissions.
- Will assist patient and their families in selecting a post-discharge care provider.
- Demonstrates commitment to work in partnership with patient/families to help reach mutual goals.
- Demonstrates actions and behaviors that consistently promote trust, respect, positive attitude, and promotes team moral.
- Seeks consultation regarding problematic cases or cases demonstrating deviations from the plan of care.
- Discharge planning evaluation will be made in a timely manner to ensure that appropriate arrangements for post-discharge care will be made to avoid necessary delays in discharge.
- Maintains professional relationships with other departments, external organizations, service providers, providers, and families of patients.
- Performs other duties as assigned.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops. Maintain quality, safety and/or infection control standards. Perform other related duties as required to ensure the smooth operation of the hospital. This individual is expected to follow all policies and procedures of NCH and observe the rules and regulations pertaining to Corporate Compliance and confidentiality (HIPAA).
*Employees are held accountable for all duties of this job.
Knowledge, Skills, and Ability:
The ability to read, write, and speak English is required. Additionally, the ability to read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from patients, regulatory agencies, or members of the business community. The ability to work with mathematical concepts such as probability and statistical inference and apply concepts such as fractions, percentages, ratios and proportions to practical situations. Knowledge of and capability to define problems, collect data, establish facts and draw valid conclusions is also necessary. Excellent typing and computer skills are also necessary. Knowledge of HIPAA regulations and Corporate Compliance requirements.
Education or Formal Training:
Must be a graduate of an accredited program of professional nursing
Current licensure of LPN or better in the State of Wyoming
Minimum two years hospital experience preferred
Working in a hospital creates a unique work environment of both confidentiality and hospitality. The characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This individual can expect a moderate noise level, such as a business office or light traffic, and moderate foot traffic. You must have the ability to hear well enough for any type of position (e.g. normal hearing and audiogram including normal noise and speech discrimination).
Under one third of the time, you may need to climb, balance, stoop, kneel, crouch or crawl to perform your job duties. One-third to two-thirds of the time you will stand, walk, use your hands, or reach with your hands and arms, or sit. Over two thirds of the time it will be necessary to talk or hear. You will frequently bend, reach and push or pull less than 50 pounds. Occasionally you will squat, kneel, climb on a step ladder, twist at the waist, and rotate above the waist. Up to one-third of the time, you must be able to lift up to 50 pounds from a twelve (12) inch height to waist height. The ability to see with clear vision at 20 inches or less, 20 feet or more, strong peripheral vision, three-dimensional vision, and ability to judge distances and spatial relationships (depth perception); and the ability to adjust focus is necessary.