Case Manager (UR), Inpatient Utilization Mgmt - Per-Diem/Days

Location: 
Long Beach Medical Center
Schedule: 
Per Diem
Shift: 
Day Job
Job Listing: 
LON006180
Case Management - Utilization

Purpose Statement/Position Summary

The Case Manager, with an unwavering focus on patient/family self determination and satisfaction, employs a discharge planning process that manages the transitions  from acute to post-acute care and/or coordinates resources for outpatiients including medical and community services . The Case Manager proactively and independently guides the health care team toward  timely  discharge and actively works to eliminate delays in transition.  The Case Manager engages the patient/family and mulitple providers across varied care settings  in the discharge planning process to  increase  the success of transitions to and from care settings and to reduce readmissions. 

Essential Job Outcomes & Functions

  • Manages a specific case load of patient/family, analyzes patient/family information, assesses and reassesses  each patient/family needs and then develops, documents and implements a plan to coordinate those services identified as necessary to optimize transitions and avoid readmissions.
  • Collaborates with the patient/family and the health care and social service teams  in planning, facilitating and advocacy to achieve the expected outcomes for patient/family through promoting access to medical and social systems that support highest possible self-management and/or continuity of care.
  • Works with the patient/family, providers and payers in understanding and maximizing resources and access to care and support.
  •  Performs per standard work and decision trees. Independently and proactively develops additional processes as needed to meet the needs of the patient/client/family. Shares new processes, creates ideas for improvement, escalates concerns/problems.
  • Proactively and independently guides the health care team toward  timely  discharge and actively works to eliminate delays in transition. 
  • Demonstrates flexibility, ability, willingness to participate in continuous improvement of processes, work flow and accountability metrics.
  • Performs other duties as assigned.
Qualifications: 

Qualifications/Work Experience

  • Prefer BSW or LVN with 5 years� experience or MSW with 3 years' experience in case/care management, discharge planning, care coordination. Will consider others with 9 years experience in case/care management, discharge planning, care coordination 

Education/Licensure/Certification

  • BSW/MSW and must complete the ACM certification within 5 years of hire
  • LVN with experience requirement
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