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Case Manager

Company: OneHealth Primary Care
Location: Clearwater
Posted on: August 4, 2022

Job Description:

The Case Manager is an RN or LPN that is responsible for providing case management for medically and/or socially complex patients. The goal of the Case Manager is to assist our most vulnerable patients in achieving optimal health and knowledge to manage their medical conditions and assist with multiple other barriers that can affect their health care outcomes. The Case Manager will be responsible for developing care plans with the patient and/or caregiver and will achieve this with strong guidance and encouraging increased patient engagement. The role will require the Case Manager to work hand in hand with the health care team to include the physicians, mid level providers, nurses, and ancillary staff to create a successful outcome for the patient by creating and fostering strong, trusting relationships with all parties involved. This role will be located in our Clearwater office. RESPONSIBILITIES:

  • Assess the physical, functional, social, psychological, environmental, learning and financial needs of the patients.
    • Identify problems, goals and interventions specific to each individual patients needs based on the patients or caregivers participation.
      • Demonstrate knowledge of cultural diversity, religious, developmental, health literacy and educational backgrounds of the population served so that appropriate interventions are provided.
        • Assess caregiver resources and involvement as well as utilize available community resources and benefits.
          • Ability to develop, implement, and monitor the care plan to ensure effectiveness of the Case Management program.
            • Work collaboratively with the UM department for alternative treatment options for selecting and locating appropriate providers and assist with working through the referral process.
              • Provide education and act as a patient advocate to provide guidance, education, and support related to the patient and health care providers care plan goals.
                • Ability to problem solve regarding operational and clinical procedures that could affect a patients outcomes.
                  • Participate in prospective, concurrent, and retrospective case reviews involving high risk or targeted patients.
                    • Ability to communicate with hospitals for clinical updates and discharge planning to ensure the best possible outcomes and decrease readmission.
                      • Maintain knowledge of operational procedures and case management program components.
                        • Ability and knowledge of chronic disease management, health screening and preventative health initiatives for targeted patients.
                          • Assist with the collection, analysis, and benchmarking of data.
                            • Collaborate in the development of protocols and guidelines for patient care management.
                              • Promote the program to internal and external care providers.
                                • Other tasks as assigned. REQUIRED SKILLS:
                                  • Knowledge and skill in chronic disease management.
                                    • Ability to work in a team environment
                                      • Strong clinical assessment skills/triage skills
                                        • Flexible and Adaptable
                                          • Professional demeanor
                                            • Excellent written and verbal communication skills
                                              • Computer proficiency
                                                • Ability to learn and utilize EMR.
                                                  • Exceptional customer service skills
                                                    • Ability to work with the geriatric population and younger disabled adults\
                                                      • Must be able to build strong relationships with good listening skills
                                                        • Strong understanding of Managed Care EDUCATION:
                                                          Associates Degree in Nursing or Certificate in Practical Nursing EXPERIENCE:
                                                          Two years minimum experience in Case Management or Disease Management. LICENSES & CERTIFICATION:
                                                          Maintain a Florida state RN or LPN license. Powered by JazzHR PI184656429

Keywords: OneHealth Primary Care, Clearwater , Case Manager, Executive , Clearwater, Florida

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