Case Management Coordinator - Full-time / Part-time

Maria Parham Health

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joint Commission, the College of American Pathologists, and Rated Highest In-Patient Safety from Leapfrog.

Where We Are:

Henderson offers a great outdoors, including the region’s largest lake, providing endless hours of fun boating, fishing, water skiing, and camping. Throw in great golfing, hunting and two fantastic recreational organizations and you may find yourself having a hard time deciding what to do next!

Why Choose Us:

· Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

· Competitive Paid Time Off, PTO cash out, and PTO donation programs

· Employee Assistance Program – mental, physical, and financial wellness assistance

· Loan Repayment and Tuition Reimbursement/Assistance for qualified applicants

· Robust employee recognition and awards programs

· And much more…

Position Summary

Case Manager Coordinator is knowledgeable about the program and is responsible for interacting with the patients, team, and other stakeholders, both internal and external, assisting the person served to become oriented to their program, participating consistently in team conferences concerning the person served, promotes the participation of the person served on an ongoing basis with discussions of plans, services, goals, and status throughout the process, facilitates and ensures the completion of discharge recommendations including consideration of financial information, communicates information to the person served, is responsible for handling all admission inquiries, working in liaison with physician to ensure appropriate and compliant admissions for the unit, completing the admission intake process, collecting and entering the PPS data and transmissions, assisting in the QI process and data collection, and is responsible for remaining competent and knowledgeable about CMS and IRF regulations, CMS changes, and training staff on these changes and regulations.

Reports to: Director of Case Management

Responsibilities of the Position

Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) compared to evidence-based practice, internal and external requirements. (40% daily, essential).

Identify and report variances in appropriateness of medical care provided over/under utilization of resources compared to evidence-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete, and concise documentation in eCCM (40% daily, essential).

Effective collaboration with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes (10% daily, essential).

Remain current with relevant clinical/case management practices. (10% daily, essential).

Maintains established departmental policies and procedures, objectives, performance improvement program, safety, environmental, and Infection Control standards.

Communicates effectively with customers of all ages.

Evaluates learning needs of patient and/or family and provides patient/family education appropriate to age, culture, condition, and circumstances.

Reports patient’s complaint of pain to the licensed nurse.

Works as an advocate for the physical and emotional well-being of the patient.

Recognizes and meets the needs of customers.

Meets expectations for attendance at Ethics, Forums, meetings, and other required training/ workshop sessions.

Performs other related duties as assigned and requested.

Required Education

Associate’s/Bachelor’s degree in Nursing is required.

Licenses/Certifications

A current North Carolina or compact state Registered Nurse (RN) license is required upon hire.

Basic Life Support (BLS) through the American Heart Association (AHA) is required upon hire.

Case Management certification is preferred.

Required Skills

Critical thinking skills, decisive judgment, and the ability to work with minimal supervision.

Minimum Work Experience

RNs with a minimum of 5 years of bedside experience or LPN with 10 years’ experience in the relevant clinical specialty (e.g., case manager for pediatrics patients should have pediatric nursing experience) is preferred.

Supervisory experience is preferred.

Case Management experience is preferred.

EEOC Statement

Maria Parham Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.