Employment Type:

Shift:

Description:

ESSENTIAL FUNCTIONS 

Knows, understands, incorporates and demonstrates the mission, vision and values of Trinity Health in leadership, behaviors, practices and decisions. 

Assesses, plans, evaluates, and coordinates management of patient care including discharge planning and utilization needs. Supports ministry and system goals for capacity management through achieving length of stay goals, identification of avoidable delays at department approved levels, and other Case Management initiatives. 

Coordinates with the interprofessional team in meeting patient care goals. 

Establishes partnerships with site Patient Experience champions to align efforts with patient satisfaction outcomes. 

Identifies discharge needs, determines the appropriate level of care that the patient can transition to, coordinates planning, and problem solves continuity issues to ensure seamless continuum of patient care and prevent the patient from having to readmit to the hospital. 

Ensures all appropriate clinical information is provided to outside agencies. 

Communicates pertinent information to the appropriate members of the patient care team both effectively and professionally.   

Identifies and eliminates barriers to effective patient stay management and promotes improvements in work processes within department, hospital, and community. 

Pursues professional development opportunities and maintains licensure.  

Advocates for patient legal, social, and ethical rights while balancing patient resources and hospital financial stewardship.  

Refers quality issues and poor utilization of services to the appropriate sources. 

Coordinates/facilitates patient/family education.   

Educates hospital leadership and colleagues to current case management practices, patient coordination issues, and unit specific trends. 

Provides consultation to professional colleagues and employees regarding patient stay options, financial considerations, psychosocial concerns, risk management, and ethical issues. 

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