AMVETS Jobs

This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/7006911

Position Purpose: In collaboration with providers, screens patients to identify and support the delivery of the most appropriate level of care and service through the acute care episode and across the continuum to support an effective discharge plan. The acute care Case Manager works collaboratively with interdisciplinary teams both internal and external to the organization to improve patient care by assuming a leadership role in driving desired clinical and financial outcomes through effective utilization and monitoring of healthcare resources.

Hours/Shift: Full Time/Days M-F 8a-4:30p, availability to work some evenings and weekends

Benefits: We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:

• Relocation Assistance Available
• Exceptional Colleagues
  • Join us and you\'ll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability
  • Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding
• Health and Well-Being
  • Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
  • Generous Paid Leave Accruals and PTO Cash Out Opportunities
  • 403b Retirement Plan with Employer Contributions
  • Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
  • Employee Identity Theft Protection
  • On-site daycare exclusive to our employees children of all ages
  • On-site Wellness Center with fitness classes, personal training, indoor pool, racquetball, and basketball courts
• Career Growth and Development\
  • Tuition Reimbursement/Scholarships for full-time employees
  • As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
• So much more!

Key Responsibilities:

• Ensures the active involvement of the patient and or family in the evaluation process and provides assistance with planning and arranging post-hospital services.
• Performs discharge planning/quality of care by participating in multidisciplinary rounds to assist with the development of care plans. Serves as an advocate for patients and protects patient rights as they pertain to ethical and legal issues of confidentiality during the case management process. Ensure implementation of the plan and appropriate education is provided to ensure a safe transition of care.
• Identifies appropriate community resources for each assigned patient and works collaboratively with patients, families, multidisciplinary team members, and community agencies to achieve desired patient outcomes.
• RN Case Managers may perform utilization reviews to determine medical necessity for admission, continued stay, appropriate utilization of resources, and level of care.
• Communicates medical necessity information with the requesting Payers and whether required post discharge services are covered by the patients payer and informs the patient of coverage determinations.
• Participates in multidisciplinary rounds to share information and facilitate the healthcare team in meeting the patients medical and psychosocial needs.
• Completes review process, conducts assessments, and evaluations of dmitted patients for medical, physical, psychological factors that may contribute to disease process and may require specific or complex continuing care and/or supportive services.
• Determines which cases will require medical staff review and/or UR management intervention.
• Communicates with attending physician, expected length of stay, Medicare guidelines and individual variances.
• Proficiently utilizes MCG and applies clinical guidelines and criteria appropriately to make utilization determinations.