Outpatient Case Manager - Sheridan Memorial Hospital

ABOUT SHERIDAN MEMORIAL HOSPITAL

At Sheridan Memorial Hospital, we are proud to have achieved the 5-Star Quality Rating, ranking us in the top 13.6% of hospitals rated by the Centers for Medicare and Medicaid Services. We believe that our ability to deliver excellent healthcare begins with our people, and we are proud of our more than 750 skilled, experienced, and caring employees. We have over 100 providers who specialize in 25 areas of expertise. Our facility is state-of-the-art, and we are dedicated to providing outstanding patient-centered care.
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Nestled at the foothills of the Big Horn Mountains in northern Wyoming, spectacular scenery and outdoor activities abound. Our hospital has the latest technology and equipment comparative to that of many larger facilities, and you will find our staff is friendly, compassionate, caring, and courteous. We focus on creating and nurturing a workplace that encourages, recognizes, and rewards individual effort and creativity. Leadership is responsive to changing modes of healthcare delivery and adapts accordingly. We value effective communication and honesty and believe teamwork based on mutual respect is key to success.

JOB SUMMARY

Under general supervision, the Outpatient Case Manager assists with social planning issues relevant to medical treatment. The Outpatient Case Manager provides care coordination, resource information, medical resource planning, plans of safe care, and legal reporting. The outpatient case manager arranges case conferences and facilitates ethical consultations. In addition, the Outpatient Case Manager is accountable for coordinating care delivery for an identified caseload of patients in collaboration with medical staff and other members of the interdisciplinary care team. The mission and vision of the organization and any appropriate practice acts governs the practice. Planning for individual age-specific needs will occur as it relates to the assigned patient population including neonates, infants, children, adolescents, adult geriatrics

ESSENTIAL JOB FUNCTIONS

• Participate in patient care planning responsive to age specific needs.
• Refers patients to appropriate community resources.
• Prepares plans of safe care for outpatients, prioritizing appropriate referrals to community resources to ensure safety of patient,
• Coordinates patient/family physician conferences.
• Provides consultation to providers and staff ongoing social concerns for patients.
• Quickly responds to requests for care coordination referrals from outpatient providers.
• Works with inpatient hospital case management team to provide seamless transitions from inpatient admissions to outpatient care. Participates in care/discharge planning in collaboration with inpatient case managers.
• Develops and maintains working relationships with community agencies.
• Provides in-service education for staff.
• Documents pertinent contacts and efforts regarding ongoing care plans with patient in the patient’s medical record.
• Performs basic administrative tasks related to the job; updating community resource lists, statistics, reports, and other routines as required
• Performs legal reports for suspected child abuse and elder abuse and domestic violence referrals
• Develops implements and revises case management plans for each referred patient, targeting optimal cost/quality outcomes for each episode of care; includes patient/parent/family in plan development as appropriate.
• Identifies variances from the case management plan and intervenes rapidly to correct the variance and/or prevent further complications; considers age and developmental level in determining realistic expectations for goal attainment.
• Collaborates with physicians and other members of the interdisciplinary care team in evaluating patient progress against the case management plan; revises plan and/or goals as indicated by patient condition; consults resource personnel as appropriate.
• Identifies, implements, communicates and documents an appropriate care plan upon referral; consults as indicated for social need planning support; ensures smooth transition between care settings in outpatient setting; uses age-appropriate communication techniques in communicating care plan to patient and family.
• Facilitate reimbursement for services providing referrals to financial advocates as necessary to meet copays, establish insurance coverage, etc.
• Communicates concerns to patient care services leadership and/or medical staff department chairmen as appropriate; identifies opportunities for system performance improvement; actively participates in data driven performance improvement activities targeting optimal clinical outcomes for patients of all ages.

POSITION QUALIFICATIONS

Education / Experience / License and Certifications

• .Minimum two years of Case Management experience, preferred.
• Bachelor of Social Work, preferred.
• BLS certification within 6 months of start date

Additional Skills

• Excellent communication skills.
• Exhibit a positive attitude.
• Knowledge of care coordination.
• Knowledge of state and federal programs that provide medical care and financial support to individuals.
• Knowledge of community resources.
• Ability to work with diverse patient and staff populations.
• Ability to work independently and amicably in group situations
• Employee must demonstrate basic computer skills

Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.

Pre-employment drug and alcohol screening is required.

Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, age, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights as an applicant under the law, please click here.