Assistant Manager Care Manager, Care Coordination - Full-Time, Days

Job Description

Be a part of a world-class academic healthcare system at UChicago Medicine Ingalls Memorial Hospital as a Assistant Manager Care Manager in the Care Coordination department. Here, you are part of a multidisciplinary team, including physicians, and payers, ensures the patient’s progress in the acute episode of care through post discharge and is quality driven while being efficient and cost effective. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland area.

 

The Assistant Manager works with the attending and consulting physicians to facilitate effective and efficient transition through the process of hospitalization. The Assistant Manager works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers as contracted. The Assistant Manager seeks the expertise of social workers to resolve psychosocial patient care issues and to develop complex patient transition/discharge plan as needed. The incumbent interacts with patients, family members, healthcare professionals, community, and state agencies in this effort. The Assistant Manager serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. The Assistant Manager is responsible for maintaining hospital compliance with the Quality Improvement Organization (QIO) series and CMS guidelines. In addition, the Assistant Manager provides case review information to third party payers, assists in the denial and appeals process, and assesses quality, levels of care, and reporting potential risk management issues. The incumbent performs duties and tasks in accordance with performance standards established for the job. The incumbent is responsible for participation in and completion of all patient safety initiatives appropriate to the position. The incumbent conducts all job responsibilities according to the Mission, Vision and Values of the Hospital.

 

Essential Job Functions

• Reviews patient charts daily or as needed
• Utilizes MSW Social Worker for appropriate referrals: patient/families with complex psychosocial, on-going medical discharge planning issues, continuing care needs and end of life issues
• Attends care rounds daily, or per unit policy
• Communicates targets and identified standards of care through collaboration with multidisciplinary team to reduce LOS and inappropriate resource consumption
• Collaborates with patients, families and other members of the interdisciplinary team as needed
• Insures that all critical elements of the care and discharge plan are communicated to the multi-disciplinary team, patient and family including expediting teaching needs
• Identifies plans and facilitates strategies to reduce length of stay and inappropriate resource consumption, working in collaboration with attending and consulting physicians
• Initiates discharge plan within 24 hours of admission
• Initiates a targeted discharge date/time within 24 hours of admission, where appropriate
• Provides and updates multi-disciplinary team through medical record documentation and pre-defined communication/points of contact regarding potential or planned discharges (e.g., bed meetings)
• Provides and updates referrals to facilities or agencies through online/software discharge planning tools
• Reviews and completes all appropriate information accompanying patient facility or agency
• Acts as a liaison between hospital and post-acute facilities or agency to facilitate returns/admissions
• Facilitates arrangements for time and mode of transportation to facilities for patients
• Arranges and participates in care conferences with unit staff, home care staff, patients and/or families
• Provides adequate avenues of communication through on-going documentation in appropriate systems and telephone/verbal reporting or electronic tools
• Coordinates and communicates with home care agencies regarding expected standards of care for requested specific treatments
• Identifies and provides information on requested procedure or medicines
• Discusses specific continuing care needs with physicians and hospital personnel on a regular basis
• Collaborates with other inter disciplinary team members as needed
• Monitors the completion of forms for transfers to nursing facilities, as required
• Participates in departmental and hospital Quality Improvement programs, as directed
• Documents disposition of patient at discharge
• Provides adequate documentation of initial assessment and on-going clinical progress in appropriate