Social Worker job in Alamogordo NM

Care Manager (CM) II

Job Description:

• Work in collaboration with the patient/family, physicians, and multidisciplinary team members to ensure patient progression through the continuum of care.
• Develop a plan of care for each assigned patient from admission through discharge.
• Identify, initiate, and manage optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management.
• Coordinate efforts of other team members to assess and respond to patient/family needs and resolve barriers that hinder effective patient care.
• Adhere to departmental and organizational goals, objectives, standards of performance, policies and procedures, and ensure regulatory compliance.

Responsibilities:

• Meet expectations of applicable OneCHRISTUS Competencies.
• Coordinate integration of case management functions into patient care and discharge planning processes.
• Facilitate patient care progression through the continuum of care efficiently and cost-effectively.
• Serve as a resource and advocate for the patient regarding treatment decisions and end-of-life issues.
• Monitor patient length of stay and collaborate with interdisciplinary team members to expedite discharge.
• Implement and monitor patient care plans to ensure effectiveness and appropriateness of services.
• Identify and resolve local/system barriers impeding diagnostic or treatment progress and quality issues.
• Use conflict resolution skills to ensure timely issue resolution.
• Collaborate with medical, nursing, and ancillary staff to eliminate care delivery barriers.
• Interview patients/families to gather information impacting health status for discharge planning and care assessment.
• Assess needs for discharge planning and make recommendations for post-acute level care needs.
• Initiate discharge planning at admission and coordinate post-hospital service referrals.
• Act as a patient advocate, negotiating and coordinating resources with payors, agencies, and vendors.
• Communicate critical elements of care plans to patients/families and healthcare team members.
• Provide interventions demonstrating knowledge of cultural diversity and patient backgrounds.
• Assess patient's support system and available benefits/community resources.
• Develop individualized care plans in collaboration with physicians.
• Ensure plan consensus from patient/family, physician, and payor.
• Provide education and support related to patient's care goals.
• Demonstrate respect for patient dignity and rights while adhering to safety standards.
• Collaborate with healthcare professionals to promote appropriate use of medical center resources.
• Participate in clinical performance improvement activities.
• Measure intervention effectiveness through communication with post-acute care providers and patients.

Requirements:

• Graduate of an accredited school of nursing (BSN preferred) or Masters Degree in Social Work (MSW) required, or 5+ years of demonstrated success in the CHRISTUS Care Manager I Position in lieu of education.
• Two or more years of clinical experience with one year in the acute care setting preferred.
• RN or LMSW in the state of employment required for new hires.
• Certification in Case Management preferred.
• BLS preferred.

Work Schedule:

• Varies

Work Type:

• Full Time