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DCH Health System
Care Manager
full-time•Tuscaloosa

Summary

Location

Tuscaloosa

Type

full-time

Company links

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About this role

Overview

The Care Manager works collaboratively with interdisciplinary and healthcare team members, both internal and external to the organization to facilitate patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve safe discharge planning along with desired clinical and financial outcomes. The Care Manager coordinates care and services through the acute care episode and across the continuum.

 

Responsibilities

Assessment

  • Completes a face to face assessment of all new patients in caseload within 24 hours or next business day to identify appropriateness for acute care, level of care and to anticipate high level care planning needs. Screens high risk patients with lace score greater than or equal to 10  to reduce 30 day readmissions.  Consults with attending physicians regarding potential care transition barriers identified as a result of this process.
  • Assumes transition process in collaboration with the multidisciplinary team and patient/family and assists with executing the plans and interventions to facilitate the stay and manage the length of stay. 
  • Facilitates patient care conferences/complex case conferences proactively as needs are identified to reduce avoidable readmissions.

    • Utilization Management

  • Provides an Important Message notice and choice on Medicare patients as appropriate.
  • Identifies and reports process improvement opportunities by capturing delays in care by documenting avoidable days in MIDAS per guidelines.  
  • Monitors and facilitates appropriateness of tests/procedures, consultation, treatment plans and resource utilization.

    • Care Coordination, Collaboration, and Transition Planning

  • Collaborates with social workers for patients with complex, clinical, financial and psycho-social needs.
  • Reviews physician orders and patient progression on a daily basis and intervenes with care coordination as needed. Collaborates with other departments to eliminate barriers, as necessary.
  • Actively participates in multi-disciplinary rounds, long stay rounds and meetings that promote comprehensive and coordinated care plans and monitors progress against goals
  • Provides clear and timely information on the patients plan of care to the next provider
  • Builds trusting relationships with attending physician, patient and/or family and other members of the healthcare team. Maintains contact with the patient, family, physician, and team members to ensure the most cost effective plan of care is being carried out and appropriate in network providers are being utilized.
  • Establishes a caring relationship with patients and their caregivers, promotes patient engagement and guides patients/families through the transition phase
  • In accordance with established clinical guidelines/standards of care establishes a comprehensive care transition plan and will organize, secure, integrate and modify resources necessary to meet the goals stated in the assessment plan.
  • Documents plan of care and updates /changes in plan of care in the electronic medical record. 
  • In collaboration with the appropriate services, arranges home care, DME and infusion and/or post acute services in partnership with the social worker. Maintains good working relationships with community providers
  • Assists with medication issues for patients on an as needed basis.
  • Serves in obtaining legal guardianship, competency determinations, adoption related situations and all cases where Adult or Child abuse is a concern. Is responsible for making sure all legal documents are completed. Collaborates with the Corporate Director and Manager of Case Management as needed. 
  • Provides counseling and support as needed.  Identifies cases which would benefit from palliative care and elicits palliative consults as needed.

    • Education and Professionalism

  • Serves as a resource to patients, physicians, Administration, and other disciplines regarding care management functions and expertise.
  • Participates in defining, maintaining and interpreting care management standards of practice
  • Assesses and educates patients and families on community agencies and resources
  • Educates and reinforces the early identification of changes in patient condition and changes in care transition plans
  • Assumes responsibility for own professional growth and is willing to share knowledge with coworkers and other health care providers.
  • Performs assigned work safely, adhering to established departmental safety standards rules and practices; reports to supervisor , in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients, and visitors  

    • DCH Standards

    • Maintains performance, patient, and employee satisfaction and financial standards as outlined in the performance evaluation.
    • Performs compliance requirements as outlined in the Employee Handbook.
    • Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
    • Requires use of electronic mail, time and attendance software, learning management software and intranet.
    • Must adhere to all DCH Health System policies and procedures.
    • All other duties as assigned.

    Qualifications

     

  • RN with 2 years’ experience required, BSN and or related bachelor’s degree in a healthcare field preferred any relevant experience in utilization and/or case management.
  • Current Alabama RN Licensure.
  • Knowledge of managed care, governmental payers, and third party reimbursement.
  • Skill in using Microsoft office applications, and Information systems including but not limited to MIDAS.
  • Demonstrated critical thinking skills and ability to prioritize work load.
  • Ability to exercise clinical judgment and autonomous decision making.
  • Strong interpersonal skills relative to both professional and lay interactions.
  • Strong organizational skills.
  • Demonstrated working knowledge of performance improvement activities.
  • Demonstrated working knowledge of data management/reporting practices.
  • Strong communication skills.

    •  

    Other facts

    Tech stack
    Assessment,Care Coordination,Collaboration,Utilization Management,Patient Engagement,Critical Thinking,Interpersonal Skills,Organizational Skills,Communication Skills,Data Management,Legal Knowledge,Palliative Care,Education,Resource Management,Clinical Judgment,Problem Solving

    About DCH Health System

    Based in Tuscaloosa, AL, DCH Health System has been providing quality and compassionate healthcare to the residents of West Alabama. Comprised of DCH Regional Medical Center, Northport Medical Center and Fayette Medical Center, the DCH Health System provides comprehensive services in:

    • Cancer treatment
    • Critical Care
    • Cardiac Services
    • Bloodless medicine
    • Home health care
    • Sleep medicine
    • Occupational medicine
    • Sports medicine
    • Spine/pain care
    • Therapy services
    • Women’s services
    • and much more

    DCH Regional Medical Center has 583 beds and offers a variety of specialty units and advanced services, including cancer, cardiology, robotic and minimally invasive surgery, and the region's most advanced trauma center.

    Northport Medical Center is a 204-bed community hospital that offers a full range of inpatient and outpatient services. The facility also operates the DCH (inpatient) Rehabilitation Pavilion and North Harbor Pavilion for mental health.

    Fayette Medical Center, through a lease agreement with the DCH Health System, is a 61-bed rural hospital that offers the residents of Fayette County inpatient care, along with sophisticated diagnostic equipment, surgical techniques and specialty clinics. A 122-bed nursing home on site is fully accredited and licensed for intermediate and skilled nursing care.

    Our goal is to provide the best health system possible for patients to receive proper care, employees to work efficiently, and physicians to practice medicine for the benefit of everyone.

    Team size: 1,001-5,000 employees
    LinkedIn: Visit
    Industry: Hospitals and Health Care
    Founding Year: 1923

    What you'll do

    • The Care Manager coordinates patient care through effective utilization of healthcare resources and leads discharge planning to achieve clinical and financial outcomes. Responsibilities include assessing new patients, collaborating with multidisciplinary teams, and facilitating care transitions.

    Ready to join DCH Health System?

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    Frequently Asked Questions

    What does a Care Manager do at DCH Health System?

    As a Care Manager at DCH Health System, you will: the Care Manager coordinates patient care through effective utilization of healthcare resources and leads discharge planning to achieve clinical and financial outcomes. Responsibilities include assessing new patients, collaborating with multidisciplinary teams, and facilitating care transitions..

    Why join DCH Health System as a Care Manager?

    DCH Health System is a leading Hospitals and Health Care company.

    Is the Care Manager position at DCH Health System remote?

    The Care Manager position at DCH Health System is based in Tuscaloosa, Alabama, United States. Contact the company through Clera for specific work arrangement details.

    How do I apply for the Care Manager position at DCH Health System?

    You can apply for the Care Manager position at DCH Health System directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about DCH Health System on their website.