The Case Manager job will coordinates management of care for a specified patient population in a single hospital; follow patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
Performs a nursing assessment on all patients. The data collected forms the basis of an individualized plan of care. Identifies teaching needs and goals related to the diagnosis of each patient from the nursing admission assessment and by collaborating with patient/family and the Interdisciplinary team.
The Case Manager identifies, evaluates, and provides management of services for patients with complex, catastrophic, long term illness or injury, targeted diseases, as well as those patients receiving out of network services.
Provides ongoing evaluation of the patient and family / caregiver response to care, and recommends alteration of the plan when necessary. Ensure continual assessment of patient and family needs from admission to Bridges home based care throughout the course of care.
In this role, you will perform ongoing essential Case Management activities of assessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of case managed members