Case Manager - Bronson Battle Creek

Case Manager – Bronson Battle Creek

Variable shifts including weekends and holidays. May work inpatient and emergency department.

• Move patients from admission through discharge without disruption to their care, including assessment, planning, implementation, coordination, monitoring, and evaluation.
• Ensure appropriate, cost‑effective care based on patient needs and hospital capabilities.
• Serve as an advanced clinical resource to patients, families, and staff.
• Collaborate with the interdisciplinary team to provide a continuum of comprehensive care.
• Monitor outcomes and participate in continuous improvement initiatives.
• Perform early assessment and identify patients at risk for post‑hospitalization care and services.
• Conduct further assessments/interviews and psychosocial evaluations as needed.
• Initiate, facilitate, and revise patient transition care plans with care coordination team members.
• Manage and monitor patient progress and document per procedure.
• Maintain ongoing assessment and contact with patients during care.
• Round daily on all assigned patients and identify readmissions, reasons, and required interventions.
• Ensure smooth, efficient transition of care between services and drive multidisciplinary team rounds.
• Document clear and specific transitional planning reflecting patient care needs and choices.
• Enact transitional plan to move patients along the care continuum.
• Work with community resources to identify and allocate post‑discharge needs, including referrals to appropriate services.
• Act as liaison among patients, physicians, ancillary staff, and community services throughout the patient experience.
• Develop, implement, coordinate, and communicate care plans from acute phase through transition out of acute care.
• Build and maintain relationships with physicians, nursing team and leaders to ensure quality of care.
• Coordinate care using Pathways or Plan of Care and contribute to ongoing development and revision.
• Participate actively in assigned groups and committees.
• Ensure appropriate use of community and outpatient resources to support post‑discharge needs.
• Manage and coordinate discharge plans to achieve appropriate length of stay and favorable clinical/financial outcomes.
• Evaluate outcomes related to the case management process, including LOS, readmission, patient satisfaction, and financial variances.
• Work with multidisciplinary team and providers to create standard care plans for patients and review behavioral contracts as needed.
• Assess eligibility of uninsured and underinsured patients for federal, state and community programs and assist with billing paperwork.
• Function as a liaison to community programs and maintain contact with appropriate resources to meet patient needs.

• Licensed Registered Nurse in good standing with the State of Michigan.
• BSN upon hire (required);
  Master’s degree preferred.
• At least 3 years of experience in an acute care hospital setting.
• Case Management Certification preferred.
• Proficient in word processing, spreadsheets, keyboarding, presentation programs, and related software.
• Ability to handle multiple priorities in a stressful environment.
• Effective verbal and written communication with all healthcare levels.
• Ability to communicate clearly, collaboratively, and supportively to patients and families.
• Strong critical thinking, decision‑making, and problem‑solving skills.
• Negotiation, influence, and timely follow‑up abilities.
• Ability to assess, prioritize, plan, organize, monitor, and evaluate patient needs and skill level.
• Independent self‑motivation and conflict‑resolution skills.
• Physical ability to walk, stand, stoop, bend, sit, lift light objects, and operate a personal computer.

Part‑time, variable shifts, 10 weekly hours.