Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Job Title: Medical Case Manager
Entity: Clinical Practices of the University of Pennsylvania
Department: Puentes de Salud
Location: Hospital of the University of Pennsylvania- 3400 Spruce St
Hours: Mon-Fri Full Time per department needs
Summary:
Acts as an advocate for the patient, assisting them to reach optimal function and health in an appropriate environment that would support their needs. The Case Manager functions within the full scope of practice to include the major responsibilities of the position and to extend these responsibilities beyond the episode of care to encompass coordination of care across the continuum. The Case Manager applies the processes of assessment, planning, implementation, monitoring, evaluation, and coordination of care to meet the patients' health care needs across the continuum in collaboration with health team members, community members, to ensure safe, quality and cost-effective care.
Responsibilities:
Conducts assessments of patient/family needs by coordinating input from all health professionals and formulating a documented plan assuring continuity of care for the rising and high-risk patients.
Delegates care coordination based on situation while assuming accountability for patient outcome. Supports assistive personnel; serves as a resource and holds assistive personnel accountable to complete delegated tasks.
Identifies appropriate providers, facilities, external healthcare organizations throughout the continuum of care and communicates with an interdisciplinary treatment team to develop and maintain positive working relationships with patients, families and providers.
Functions as a coordinator and manager of a defined health population across care setting and for multiple physicians/health care providers or health plan counterparts. Works closely with their assigned primary care department/practice to offer individualized assistance with improving and maintaining quality patient care.
Coordinates care across the continuum (inpatient/outpatient/community) to assure appropriate utilization of clinical and community resources.
Oversees and guides the development of multiple health partnerships to achieve a positive health effect.
Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to initiatives.
In conjunction with the practice team, identifies patients at risk for poor outcomes or experiencing poor coordination of services who would benefit from more intensive follow-up
Provides chronic disease and self-management education and support.
SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:
Assist in coordination of the development of practice parameters with the assigned departments/sections/specialties of Medical Staff.
Identifies professional needs to maintain expertise and keep current with health care trends, both clinical and financial.
Serves on committees and actively participates in department staff meetings and performance improvement activities, using the gained knowledge through lean six-sigma training.
Helps in identification of best methods to transmit case management plan to all points of care provided in the health care system, and county social service agencies.
Actively engages in educational activities with Medical Students and Residents.
Participates in the on-call responsibilities for this position as required.
Education or Equivalent Experience:
Bachelor's Degree in Social Work, Nursing or Related Health Care (Required).
Master's Degree (Preferred)
3+ years of acute care nursing or social work or other relevant Case Management experience (Required).
1+ year experience in case coordination and planning as well as experience in project implementation and execution (Required).
Skills & Abilities:
Excellent verbal and written communication skills (Required).
Excellent customer service skills (Required).
Proven informal leadership skills (Required).
Ability to work independently, setting priorities to coordinate care plans efficiently (Required).
Ability to work effectively in a fast-paced team environment (Required).
Highly organized and detail-oriented with the ability to perform multiple tasks simultaneously (Required).
Effective behavioral and educational strategies, including, but not limited to: motivational interviewing, teach-back method and self-management support (Required).
Demonstrated experience successfully working among multi-disciplinary teams (Required).
Five (5) years of case management experience (Preferred).
Case Management certification (ACM/CCM) within 3 years (Preferred).
Current Licensure as a RN, issued by the Pennsylvania Board of Nursing (Preferred).
Knowledge of utilization review or managed care (Preferred).
Care management experience in a managed care setting (Preferred).
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
REQNUMBER: 305449
