1+ months

348000 Case Manager - PD

Penn Medicine
West Chester, PA 19380
Responsible for the coordination of a multidisciplinary plan of care ensuring the delivery of quality patient care that facilitates discharge and expected outcomes, utilizing appropriate and cost effective strategies. Performs and communicates clinical reviews and data to insurance payors. Collaborates with health care team to streamline patient care. Identify system barriers to cost effective quality care.Essential Duties and ResponsibilitiesCommunication Competencies1.\tCommunicates patient needs to medical staff, nursing staff, Case Management team and payers, as appropriate2.\tCommunicates patient needs with attention to detail to service providers to ensure safe level of care and appropriate resources after discharge.3.\tCommunicates with medical staff regarding case management issues as they occur and document accordingly.4.\tCommunicates with ancillary departments to: negotiate accelerated test scheduling, receive results not yet available on medical record or ensure interaction with patient as ordered by physician.5.\tRelays identified risk, infection control or patient concern issues to Risk Manager, Infection Control Practitioner, or Customer Service Coordinator as appropriate.Interventions Competencies 1.\tDiscusses the plan of care and targeted length of stay with the multidisciplinary team, patients, and family at the time of admission.2.\tExplores strategies to reduce the length of stay and resource consumption.3.\tServes as a patient advocate with the health care team, payors and outside agencies.4.\tCollaborates with primary nurses to identify plans to maintain streamlined patient care.5.\tParticipates in the daily discharge rapid rounds (multidisciplinary team meetings) coming prepared with essential information.6.\tIdentifies a plan with the Case Management Director and/or Team Lead to address system opportunities and participates in that plan.Utilization Review Competencies

Education Training and Experience\n•\tPast experience in a leadership role preferred. \n•\tMinimum of three years of acute clinical experience in the designated specialty. \n•\tPrior utilization management and/or discharge planning or relevant experience is a plus.\n•\tKnowledge of Inter Qual Acute Care Criteria\n•\tMust have demonstrated excellent communication skills with proven ability to negotiate and collaborate with others. \n•\tAbility to be flexible, organize, prioritize and remain calm in stressful situations. \n•\tUnderstands the complexity of the health care system and is able to apply theory with practice.\n•\tMust have good computer skills. \n\nLicensure/Certification \nA Pennsylvania licensed Registered Nurse and BSN with Case Management experience\nCase Management Certification preferred\n\nWork Environment and Hazards\nWell lit, air-conditioned office. Busy office with frequent telephone and in-person interruptions. Moderate risk of exposure to communicable diseases\n\nWork Contact Group\nFrequent contact with payers`, physicians, patients, families, vendors, other department health professionals and case management department personnel

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Posted: 2020-01-08 Expires: 2020-03-07

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348000 Case Manager - PD

Penn Medicine
West Chester, PA 19380

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