The Case Manager is responsible for the facilitation of clinically pertinent discharge planning and case coordination. The Case Manager will interface with Fremont Hospital Clinical Staff, with outside referral agencies, with managed care organizations, and with Santa Clara County Mental Health and Kaiser Mental Health to ensure that the admission, continued stay, and discharge planning is in compliance with JCHO, CMS, and established Discharge Planning Policies and Procedures. The Discharge Planner will be responsible for initiating, developing and implementing the provision of services designed to assist the patient in a successful transition from the hospital setting to home or other placement. Discharge planning will be initiated upon admission and continually assessed with the treatment team during the development of the Master Treatment Plan. Criteria for discharge will be noted in the Treatment Plan and will be included in ongoing documentation of Treatment Plans and specific staff responsible for providing these services. On-going discharge planning documentation will be audited by the SS Director.
Education:Graduation from an accredited clinical program in Nursing, Social Work or related Mental Health Program. Master's Degree preferred.
Experience:Minimum of 2 years direct clinical experience in a health care setting. Requires one year's experience in discharge planning..
Additional Requirements: Strong communication, customer service, problem-solving and analytical skills. Basic computer skills. Ability to work closely and effectively with physicians, patient/families, hospital staff, co-workers, and the community. Ability to assess patient needs based on age, physical and psychosocial need. Must be well versed in understanding the facilitation of patients through the continuum of care process and have a good degree of assertiveness in/or to actively advocate for the patient(s). Quality improvement experience is preferred. Successful completion of CPR with AED Certification. You will be required to successfully complete the Fremont Hospital's non- violent Crisis Prevention Intervention (CPI) training course within 90 days of employment and prior to assisting with preventative intervention measures. Able to work overtime, flexible hours and provide on call coverage if required.
JOB DESCRIPTION AND PERFORMANCE EVALUATION
The below statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of employees classified on this job.
I have reviewed and received a copy of the job description and understand how I will be evaluated on my Performance Evaluation
□Performance Evaluation (complete the self-evaluation):
I have reviewed this document, discussed its contents with my manager and had the opportunity to make written comments. I have received a copy of the job description / performance evaluation, and my signature indicates my understanding and acceptance of its contents.
KNOWLEDGE, SKILLS, AND ABILITIES
THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS. THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.
1. Knowledge of case management/discharge planning procedures.
2. Knowledge of external organizations (i.e. Kaiser, Santa Clara County, managed care, Medicare, Medicaid, state gatekeep for Medicaid).
3. Knowledge of patients' rights, advanced directives, adult and child abuse laws, and emergency detention.
4. Knowledge and utilization of crisis intervention techniques.
5. Knowledge of payer resources and financial planning.
6. Excellent leadership and negotiation skills.
7. Excellent customer relations' skills.
8. Excellent organizational and interpersonal communication skills.
9. Skill in interacting with multiple individuals with diversified roles and perspectives.
10. Skill in organizing and prioritizing workloads to meet deadlines.
11. Skill in telephone etiquette and paging procedures.
12. Effective oral and written communication skills.
13. Ability to communicate effectively both verbally and in writing.
14. Ability to handle conflicting situations.
15. Ability to focus on details in a busy environment.
16. Ability to operate in an unstructured environment, orchestrate a myriad of activities and to manage multiple priorities within complex systems.
17. Ability to tolerate ambiguity, uncertainty, and change.
18. Ability to work at a rapid pace.
19. Ability to communicate effectively with patients and co-workers.
20. Ability to adhere to safety policies and procedures.
21. Ability to use good judgment and to maintain confidentiality of information.
22. Ability to work as a team player.
23. Ability to demonstrate tact, resourcefulness, patience and dedication.
24. Ability to accept direction and adhere to policies and procedures.
25. Ability to recognize the importance of adapting to the various patient age groups (adolescent, adult and geriatric).
26. Ability to work in a fast-paced environment.
27. Ability to meet corporate deadlines.
28. Ability to react calmly and effectively in emergency situations.
29. Ability to locate a chart in HIM.
PHYSICAL, MENTAL, AND SPECIAL DEMANDS
THIS SECTION DESCRIBES HOW AN EMPLOYEE IN THIS POSITION CURRENTLY PERFORMS THE FUNCTIONS OF THIS POSITION. MODIFICATIONS TO THE MANNER IN WHICH THIS JOB MAY BE PERFORMED WILL BE REVIEWED ON A CASE-BY-CASE BASIS.
1. Ability to stand, or walk up to six hours, sit for up to two hours.
2. Ability to spend 20% of the workday outdoors in temperatures varying from 30°-100oF and 80% of the workday indoors in temperatures varying from 60°-85oF.
3. Ability to occasionally push/pull wheeled carts from 200 lbs (i.e., crash carts, patient on stretchers or in wheelchairs).
4. Ability to frequently lift and carry up to 10 pounds; occasionally lift and carry up to 100 lbs.
5. Ability to see well enough to read written materials.
6. Ability to discern a variety of odors.
7. Ability to handle hazardous/infectious waste on an occasional basis.
8. Ability to work in an environment where the noise level is frequently high; where chemicals are
frequently used in cleaning; where mechanical and electrical hazards may occasionally be present;
and where dust, mist and steam are frequently generated in housekeeping tasks.
9. Ability to respond to exposure to blood and bodily fluids.
MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES:
THIS SECTION DESCRIBES THOSE MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES AN EMPLOYEE IN THIS POSITION MUST BE ABLE TO USE.
1. Computer and various software packages.
2. Telephone and paging system.
5. Copy machine.
6. Medical Records
7. Policies, procedures, plans and program manuals.