Case Manager at Beacon Health Systems in Elkhart, Indiana

Job Description:

• 
  JOB SUMMARY
  
  • 
    
    Reports to the Manager, Case Management. Meets with patients/family/significant other to assess post hospital needs and facilitates linkage with appropriate community services and resources. Ensures patients have a well-planned process in place from admission to discharge or transfer of care for medically complex patients. Collaborates with the interdisciplinary team to assess clinical readiness for transfer and discharge.

    Ability to communicate positively and effectively with all levels of participants in health care delivery in both formal and informal settings and with individuals as well as groups of varying size and through documentation.

    
    

    Clinical expertise appropriate for designated patient population.

    
    

    Nurse Case Manager and Clinical Social Worker work together to identify complicated social and medical situations and provide interventions necessary for patient based on assessed needs.

    
    

    Skill in auditing outcomes concurrently and retrospectively.

    
    

    Capable of managing complex workload and establishing priorities.

    
    

    Maintains up-to-date knowledge of reimbursement processes and community resources.

    
    

    Provides clinical and discharge data necessary to insurance companies to ensure that post discharge needs are addressed.

    
    
    
    
  
  


• 
  MISSION, VALUES and SERVICE GOALS
  
  
  
  • 
    MISSION: We deliver outstanding care, inspire health, and connect with heart.
    
    
  
  
  • 
    VALUES: Trust. Respect. Integrity. Compassion.
    
    
  
  
  • 
    SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
    
    
  
  
  
  


• 
  JOB SPECIFICATIONS
  
  
  
  • 
    Education and Experience
    
    • The knowledge, skills, and abilities as indicated below are normally acquired through the successful completion of nursing program from an accredited school of nursing with a current Indiana license to practice as a Registered Nurse, a Bachelor's (BSW) or Master's (MSW) of Social Work. A minimum of three to five years of job-related experience is required. After January 1, 2014, candidates are required to have or obtain a BSN within five (5) years of employment as a Registered Nurse or will have the option to become certified in their area of specialty. The certification must be maintained based off of accrediting body standards.
      
      
    
    
  
  
  • 
    Knowledge & Skills
    
    
    
    • Possesses outstanding interpersonal skills with focus on listening, assertion, conflict resolution and collaboration.
      
      
    
    
    • Provides oversight of plan of care and discharge readiness.
      
      
    
    
    • Identify psychosocial issues and collaborate with other team members.
      
      
    
    
    • Possesses strong knowledge of medical and clinical processes. Develops clinical expertise appropriate for designated patient population.
      
      
    
    
    • Provides ongoing focus for clinically and socially complex patients.
      
      
    
    
    • Works with patient's families and other members of the healthcare team to assist in navigating the complicated service systems.
      
      
    
    
    • Understands function of complex healthcare organization providing broad scope of services.
      
      
    
    
    • Ability to communicate positively and effectively with all levels of participants in health care delivery in both formal and informal settings and with individuals as well as groups of varying size and through documentation.
      
      
    
    
    • Verify and obtain mandatory Medicare notices.
      
      
    
    
    • Capable of managing complex workload and establishing priorities.
      
      
    
    
    • Maintains up-to-date knowledge of reimbursement processes and community resources.
      
      
    
    
    
    
  
  
  • 
    Working Conditions
    
    • Complexity of workload and communications may involve mental stress.
      
      
    
    
  
  
  • 
    Physical Demands
    
    • Requires the physical ability and stamina (i.e. to walk/stand for prolonged periods of time, push carts/wheelchairs up to 50 pounds, to position/lift patients at a maximum of 35 pounds unassisted, over 35 pounds requires assistance, provide CPR, etc.) to perform the essential functions of the position.