Overview

CentraState Medical Center has an employment opportunity available for an Inpatient Care Manager. The Inpatient Care Manager coordinates care and services for selected patient populations to ensure a safe and timely transition to the next appropriate level of care. This role involves clinical assessment, planning, implementation, coordination, monitoring, and evaluation of options and services to meet individual health needs. The Care Manager partners with the healthcare team to address clinical, psychosocial, and financial aspects of care, promoting effective resource utilization and supporting the patient’s progression through acute care. The position also collaborates with the interdisciplinary team to develop comprehensive case management plans that achieve optimal clinical and resource outcomes.

Responsibilities

Responsibilities include, but are not limited to:

• Develops Case Management Plan: Reviews clinical findings and diagnostic reports to maintain a comprehensive understanding of the patient’s current plan of care.  Correlates the medical record findings with patient assessment findings and works with physicians to develop a comprehensive case management plan of care. 
• Refers High Risk Patients to Social Services: Using specific criteria, identifies high-risk patients who potentially require psychosocial intervention and refers the patient to the social worker.
• Implements Actions to Prevent Readmissions: Conducts patient assessments and intervenes to proactively prevent readmissions; evaluates those who are readmitted to identify causes of the readmission and implements strategies to prevent future readmission. 
• Develops and Implements Transition of Care Plan: Develops and documents a discharge/transition plan through collaboration with the interdisciplinary team. Ensures that activities to facilitate and coordinate the plan are being implemented and that the plan is continuously modified to meet any patient’s changing needs.
• Monitors and Escalates Financial Management Issues: Communicates with the healthcare team and patient/caregiver regarding any issues related to payer or financial issues that may negatively influence the patient’s post-acute care plan.
• Facilitates Patient Progression: Monitors hospitalized patient’s length of stay (LOS), actively participates, and contributes to Care Rounds, proactively works with the clinical care team to meet expected length-of-stay and clinical targets/indicators and proposes solutions to address barriers to discharge to the healthcare team to ensure an efficient and effective transition plan of care.
• Coordinates Transitions of Care: Actively communicates with patients, families, physicians, care team members, and the Utilization Review Nurse to facilitate coordination of clinical activities to achieve a seamless transition from one level of care to another across the continuum.
• Maintains knowledge of Federal, State, and other regulatory agency rules and regulations including The Joint Commission, CMS, Medicare, including but not limited to, knowledge of CMS rules regarding Observation status, the 2 Midnight Rule, and Medicare Inpatient Only Procedures. 
• Provides education and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient transition to the patient/family and health care team. 
• Identifies potential risk management and/or quality issues and works with the healthcare team to resolve such issues or refer them through the Chain of Command structure to the appropriate resource/committee

Other duties as assigned by management

Qualifications

• BSN or Bachelor’s Degree in related field or current enrollment in BSN or related Bachelor’s Degree program required.
• Prior clinical experience in care and management of hospitalized patients.
• Experience in acute care case management, preferred
• Case management training from a professional Case Management organization, preferred.
• RN license required/NJ.
• Case Management certification preferred.  
• Excellent communication, negotiation, and conflict resolution skills
• Data and computer skills
• Knowledge of relevant and state regulatory standards related to Case Management
• Rapid cycle change or clinical performance improvement expertise

Compensation Range: $93,600 - $159,120 annually

 

The compensation above reflects the established range from CentraState Healthcare System (CSHS) for this position at the time the job was posted. CSHS considers many factors to determine compensation, including education, experience, skills, licenses, certification, and training.  As such, team member compensation may fall outside this range. 

 

Additionally, the compensation range reflects base salary and does not include extra shift rates or incentives tied to quality, productivity, etc., as applicable.

 

The benefits outlined also reflect CSHS’ policy at the time of posting.  Benefits as are made available to other similarly situated team members of CSHS, although participation is at all times in accordance with and subject to the eligibility and other provisions of such plans and programs. CSHS may modify its benefits plans or programs at any time.

 

CSHS is proud to comply with all pay equity and pay transparency laws.