Provide overall Case Management functions for up to 15 patients
Communicate daily one on one with physicians to determine patient needs (either in person or via telephone).
Review the patient’s medical record to determine the appropriateness of stay relative to the established inpatient criteria.
Identify patients who do not meet the inpatient criteria and addresses these issues with the physician (s) and healthcare team so that patients are provided care in the most appropriate setting.
Participate in interdisciplinary discharge planning rounds so that the patient can be transitioned to the next level of care once medically stable.
Assist in the development of timely discharge plan to the next level of care with other healthcare team members so that continuity of care can be maintained along with the necessary orders and insurance approval obtained for these services prior to discharge
Collaborate with the patient, family, physician, and healthcare team members to assess the individual patient’s healthcare needs and determine an individualized discharge plan.
Assist in coordinating the patient’s care by effectively collaborating with the physician(s) and healthcare team to provide high quality care and optimize the appropriate use of healthcare resources.
Assist in regulatory compliance for job specific responsibilities.
Facilitate Team communication and necessary patient/family education/preparation for community reintegration.
Manage Payer communication and authorizations for covered/non-covered service. Communicate the same with patient/family.
WHAT IT TAKES TO SUCCEED:
Maintain knowledge base of medical conditions and how it impacts level of care and discharge planning.
Identify delays in service and take action to prevent or minimize the delay.
Assist with providing the patient or patient representative to follow Medicare Important Message and answer any questions related to the discharge rights.
Maintain knowledge of resources within the community.
Participate in family conference as needed so a transition plan can be established.
Monitor the progression of the patient’s plan of care and respond to changes in the patient’s needs and conditions.
Maintain effective communication patient/family members.
WHAT WE'RE LOOKING FOR:
1-3 Years Experience - ( 2 years Acute Rehabilitation experience and previous Case Management experience in a hospital setting)
License(s): Registered Nurse
Degree: Bachelor's Degree Required
Certification(s): Basic Life Support Program
Travel: Never or Rarely
Internal Number: 23187
About Franciscan Health Hammond
A trusted leader in providing faith-based, integrated healthcare, Franciscan Health brings together the latest technology, innovative procedures and highly skilled and compassionate employees to serve our patients in Indiana, Illinois and Michigan. With a mission of "Continuing Christ's Ministry in our Franciscan Tradition," our award-winning, accredited hospitals and health facilities serve everyone with respect and compassion in a welcoming and healing environment.