Overview:
To provide a comprehensive approach to case management inclusive of all aspects of the patient's stay including, but not limited to the following key functions: discharge planning and execution of the discharge plan; ensuring proper utilization management requirements of payers are met.
Responsibilities:
Performs and executes discharge planning- Develops sound and reliable discharge plans incorporating risk for readmission assessment in discharge needs and support structure
- Includes all stakeholders in the discharge plan to ensure plan is sound and fully communicated
- Participates in multidisciplinary rounding process as requested
- Works collaboratively with all caregivers in the continuum of care to ensure sound and timely discharge plan
- Demonstrates strong understanding and mastery of community resources
- Possesses strong discharge planning assessment skills
- Communicates well and frequent with patient and family
- Works collaboratively with nursing and other members of the care team, to ensure issues that Case Management identifies, are included in the plan of care
- Organizes and leads multidisciplinary care conferences as necessary to facilitate plan of care progression.
- Ability to identify barriers to transportation and assist with getting patient transportation to appointments
- Provide ongoing recovery support service to ensure patient arrives and is engaged by intake staff, and ensure that patient remains engaged in treatment overtime – helping the patient navigate stages of change and practical considerations.
- Work with insurance provided transportation programs to ensure transportation
- May be responsible for transporting patients to appointments
Ensures Patients receive comprehensive services: Assists the interdisciplinary treatment team in patient assessment for appropriateness of treatment services.- Is knowledgeable and capable of working with patients who present a dual problem, Co-Occurring Substance Use and Mental Health Disorder.
- Provides that all patient contact and interaction is based upon inherent dignity, individuality, culture and beliefs of each patient. Patient care is provided in a compassionate, humane, and non-enabling manner.
- Participates in interdisciplinary clinical staffing or ensures pertinent information is provided to team
- Demonstrates Motivational Interviewing skills when working with patients.
- Demonstrates ongoing assessment for next level of care and actions to move patient to appropriate level
- Is knowledgeable in understanding of addiction, signs of overdose, and administration of naloxone products.
- Ability to educate patient and family in opiate use and administration of naloxone products.
- Ability to provide consultation with patient, family, insurance provider, and treatment providers to confirm recommended course of treatment is covered and/or affordable.
Assist in facilitation of services, based on quality initiatives and documentation in EMR.- Ensures accurate documentation
- Collaborates with Certified Peer Recovery Specialist and Data Analyst to ensure documentation is present to supports warm hand off.
- Documents all Discharge Planning components accurately in EMR
- Assist with documentation in EMR to support quality initiatives
- Assist with audits for medical necessity documents as requested
Qualifications:
Certifications:
- Basic Life Support (BLS) within 30 days - American Heart Association (AHA);
- Driver's License - Illinois Secretary of State (ILSOS),
- Use of usual and customary equipment used to perform essential functions of the position. Upon Hire
- Must have control over personal use of all mood-altering chemicals and behaviors. Upon Hire
- If recovering from an addiction, must currently have a minimum of 2 years of uninterrupted recovery. Upon Hire
Education: Bachelor's Degree: Social Work; Nursing; Related Field,
Other Requirements
Required English Skills Advanced reading skills Advanced writing skills Advanced oral skills Communication Skills Ability to respond appropriately to customer/co-worker Interaction with a wide variety of people Maintain confidential information Ability to communicate only the facts to recipients or to decline to reveal information Ability to project a professional, friendly, helpful demeanor Computer Skills Basic computer knowledge: Uses word processing, spreadsheet, e-mail application, and web browser. Comfortable within a Windows OS and learning new applications.
Carle Health Company Overview:
Find it here.
Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Salary Range:
The compensation range for this position is $18.65per hour - $30.21per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.