Case Manager - I: MPC-MRH - East Hollywood
Full Time
Hollywood, FL 33021
Posted
Job description
Summary:
Case managers are responsible for developing care plans in partnership with patients, monitoring ongoing symptoms, building continuity of care, reviewing patients claims data, laboratory reports, and prescriptions, engaging with patients to manage their own health, and working with patients and providers to set treat-to-target goals.
Case managers are responsible for developing care plans in partnership with patients, monitoring ongoing symptoms, building continuity of care, reviewing patients claims data, laboratory reports, and prescriptions, engaging with patients to manage their own health, and working with patients and providers to set treat-to-target goals.
Detailed responsibilities:
- Develops patient care plans based upon the assessment of the patients' care needs and provides ongoing monitoring of assigned patient case load through the duration of the program. Maintains client records by reviewing case notes, logging events and progress.
- Monitors cases by verifying patients' attendance to scheduled appointments; observing and evaluating treatments and responses; advocating for needed services and entitlements; obtaining additional resources; intervening in crises; providing personal support.
- Determines patients' requirements by completing intake assessments; determining the need for therapeutic medical, psycho-social, and psychiatric evaluations; reviewing therapist evaluations, treatment objectives, and plans.
- Provides ongoing follow-up support and education to patients and caregivers, either in-person or telephonically, until transitioning the patient back to their primary care provider or ambulatory care manager for long-term support. Ensures that assigned patients who are discharged from any inpatient institutions are followed up by their primary care providers within 7 days. Communicates the patient plan of care with the physician, patient and care team members. Remains aware of patient needs and changes in patient¿s condition.
- Performs disease management for members with specific chronic diseases. Performs initial assessment which is used to determine the member¿s level of knowledge about their disease, as well as the need for education, coaching and support to ensure compliance with a treatment plan based on nationally recognized standards of care for their chronic illness(s). Works with patients to create disease specific disease management plans to address their specific objectives and goals established during the initial assessment.
- Responsible for timely contact of members enrolled in the Disease Management program. Maintains appropriate caseload, follows Disease Management process to include appropriate documentation and follow-up.
Competencies and skills:
Essential:
- STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
- CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
- ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
- RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.
- ANALYSIS AND DECISION MAKING: Uses decision making processes and tools to analyze situations and make effective decisions.
- DISCHARGE PLANNING CLINICAL EFFECTIVENESS: Plans, implements and manages patient discharges and/or transfers.
- PATIENT AND FAMILY CENTERED CARE: "Provides Patient and Family Centered Care to patients, families, visitors and internal customers"
- CLINICAL POLICIES AND STANDARDS: Applies knowledge of clinical standards, policies, and procedures relevant to function and organization.
Education:
Essential:
Essential:
- Accredited Program
Credentials:
Essential:
Essential:
- BLS Certification
- Licensed Practical Nurse - Florida
- BLS American Heart E-Card
Education equivalent experience:
Essential:
- Graduate of an accredited Practical or Vocational Nursing program.
Other information:
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Required Work Experience: 1 year of LPN experience.
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Required Work Experience: 1 year of LPN experience.
Working conditions:
Essential:
Essential:
- Keyboard Entry 80.00%
- Lifting/Carrying Patients 35 Pounds or Greater 40.00%
- Lifting or Carrying 0 - 25 lbs Non-Patient 60.00%
- Pushing or Pulling 0 - 25 lbs Non-Patient 60.00%
- Pushing or Pulling 26 - 75 lbs Non-Patient 60.00%
- Reaching 60.00%
- Repetitive Movement Hand/Arm 80.00%
- Sitting 80.00%
- Standing 80.00%
- Walking 80.00%
- Audible Speech 80.00%
- Hearing Acuity 80.00%
- Depth Perception 80.00%
- Distinguish Color 60.00%
- Seeing - Far 80.00%
- Seeing - Near 80.00%
- Bio hazardous Waste 60.00%
- Biological Hazards - Respiratory 60.00%
- Biological Hazards - Skin or Ingestion 60.00%
- Blood and/or Bodily Fluids 60.00%
- Communicable Diseases and/or Pathogens 60.00%
- Dust 60.00%
- Gas/Vapors/Fumes 60.00%
- Hazardous Chemicals 60.00%
- Hazardous Medication 40.00%
- Latex 60.00%
- Computer Monitor 80.00%
- Domestic Animals 60.00%
- Needles/Sharp Objects 60.00%
- Potential for Physical Assault 60.00%
- Wet or Slippery Surfaces 60.00%
Organizational Profile:
Memorial Primary Care (formerly known as South Broward Community Health Services) centers are an integral part of Memorial Healthcare System, dedicated to providing high-quality, cost-effective, patient-centered primary care. We have multiplw locations throughout south Broward County, and our highly skilled team of healthcare professionals works to meet each patient’s healthcare needs in a friendly and culturally sensitive environment.
Located in Hollywood, West Hollywood and Dania Beach, the centers offer a variety of vital programs which include disease management and pediatric services, as well as Mobile Health Centers for both children and adults.
In addition, we have Memorial Outpatient Center in Hallandale offering high-quality medical and health-related services such as mammography, bone density testing, EKGs, CT scans, Ultrasound, nuclear medicine, an adult day care center and a senior resource center.
Memorial Primary Care (formerly known as South Broward Community Health Services) centers are an integral part of Memorial Healthcare System, dedicated to providing high-quality, cost-effective, patient-centered primary care. We have multiplw locations throughout south Broward County, and our highly skilled team of healthcare professionals works to meet each patient’s healthcare needs in a friendly and culturally sensitive environment.
Located in Hollywood, West Hollywood and Dania Beach, the centers offer a variety of vital programs which include disease management and pediatric services, as well as Mobile Health Centers for both children and adults.
In addition, we have Memorial Outpatient Center in Hallandale offering high-quality medical and health-related services such as mammography, bone density testing, EKGs, CT scans, Ultrasound, nuclear medicine, an adult day care center and a senior resource center.
Disclaimer:
This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
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