The Senior Case Manager assists the administrative manager in providing training, coordination and direction in the day to day function of the department of Case Management. The Senior Case Manager collaborates with Senior Leadership regarding patient flow, census management, patient care outcomes and financial performance indicators, and provides direct case management services. The Senior Case Manager oversees the effective coordination of services in the areas of insurance relations, fiscal management, admission and discharge coordination, case conferencing and communication relative to the overall treatment plan. As the interdisciplinary team coordinator, the Senior Case Manager facilitates communication amongst team members regarding delivery of services to patients and families, performs ongoing utilization review, acts as a liaison to the payor, assures cost effective treatment, facilitates timely communication and implements the discharge plan. The Senior Case Manager can work in either the inpatient or outpatient setting.
Job Code: 100157
License or Certification: - Maintains current required state licensure based on education, and national certification if required by professional background. Certifications (CRRN, CIRS, CRC, ACM or CCM) preferred Education, Training and Years of Experience: - Bachelors or masters degree preferred in social work, rehabilitation or related allied health field, or a degree in nursing (BSN preferred) with appropriate state licensure/certifications Machines, Equipment Used: - General office equipment such as telephone, copy machine, fax machine, calculator, computer. Physical Requirements: - Good visual acuity and ability to communicate. - Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements. Compliance: - Adheres to the company's Standards of Business Conduct. - Maintains current licensure and/or certifications, if applicable. Skills and Abilities: - Ability to speak, read, write, and communicate effectively. - Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner. - Ability to work independently without supervision. Environmental Conditions: - Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure. - Exposure or potential exposure to blood and body fluids may be required. - Handicapped accessible. - May work under stressful circumstances at times. Proficiency or Productivity Standards: - Meets established attendance standards. - Adheres to hospital/department dress code including wearing ID badge. - May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines. - May be required to work on religious and/or legal holidays on scheduled days/shifts. - Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster. - May be required to stay after workday to assist after a disaster situation until relief arrives. - May be required to perform other duties as assigned by supervisor.
Address: 1160 Van Voorhis Road, Morgantown 26505
Shift: Day Job
Job ID: 2114553