Care Manager (Flexi)

Summary:

The Care Manager is a member of the Care Management team responsible for coordinating patient care across the continuum during assigned shifts. This role integrates clinical expertise with knowledge of post-acute care needs and community resources to support safe timely and cost-effective transitions of care.

The Care Manager performs core care management functions including discharge planning quality management and resource utilization while collaborating with the multidisciplinary team to achieve optimal patient outcomes.

This position is scheduled on an as-needed basis to support staffing and patient care demands with no guarantee of hours. Assignments are based on areas of highest organizational and departmental need. While working the Care Manager is expected to perform the essential functions of the role; however this position does not carry ongoing responsibilities outside of scheduled shifts such as routine meeting attendance committee participation mentoring or precepting. The incumbent is responsible for maintaining required competencies licensure and completion of mandatory education.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed; other tasks may be assigned.

Demonstrates required clinical knowledge and psychomotor skills to perform job duties effectively

Interprets and applies clinical data to prioritize patient care needs and determine appropriate actions

Communicates and collaborates effectively with patients families and interdisciplinary team members

Manages time effectively and independently prioritizes workload to meet deadlines and shift expectations

Assesses plans implements and evaluates care management strategies to support appropriate resource utilization and length of stay management

Develops implements and evaluates individualized discharge plans for all assigned patients

Completes thorough patient assessments including medical functional psychosocial legal financial and safety needs

Coordinates with physicians nurses social workers and care team members to support safe and effective discharge planning

Identifies and addresses social determinants of health and connects patients with appropriate community and support resources

Leads discharge planning efforts resolves barriers and ensures timely and safe patient transitions

Monitors length of stay identifies delays or avoidable days and escalates concerns appropriately

Communicates effectively with providers insurers and stakeholders regarding utilization discharge barriers and authorization processes

Facilitates peer-to-peer reviews and communicates insurance determinations or service denials as needed

Ensures compliance with CMSA standards organizational policies licensure certifications and mandatory training requirements

Performs PRN care management duties floats to high-need units as assigned and maintains proficiency within 90 days of hire or role transition

Supervisory Responsibilities

Qualifications

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

Minimum Required Education:

Bachelor of Science in Nursing (BSN) Associate Degree in Nursing with three (3) years of clinical experience or a Bachelors degree in Social Work required.

Experience: Minimum one (1) year of clinical experience required in an acute care setting.

Acute care case management discharge planning or care coordination highly preferred.

Must be self-directed and possess critical thinking and excellent organizational skills.

Certificates Licenses Registrations:

RN Licensure required unless you hold a degree in Social Work.

Obtain CPR certification within 6 months and maintain CPR certification by following hospital policy for renewals reference the RQI policy.

Physical Demands & Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required Experience:

Manager