RN or Social Worker, Case Manager: PRN

Job Details

We are looking for a Case Manager to oversee the implementation of the Case Management process, monitor physician documentation, and coordinate utilization reviews and discharge planning with interdisciplinary staff.

• Work/life: 12 hour shifts, variable weekends. You will find support to help you manage your personal life while building a career.
• Employee‑centric: 401(k), health and wellness offerings, monthly employee events, and more.
• Lifestyle:
  Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie.

Our goal at Firelands Health is to be the best & preferred independent healthcare employer for the Sandusky Bay region.

Firelands Health is the area’s largest and most comprehensive resource for quality medical care. We are “big enough to care for you, and small enough to care about you”. We are locally managed and governed as a not‑for‑profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve.

Our Core ACE Values:
Attitude:
We choose to be positive and inclusive every day. Commitment:
We are committed to exceed the expectations of those we serve. Enthusiasm:
We will work passionately to make a difference.

Under the supervision of the Director, this position is responsible for the implementation of the Case Management process, monitoring physician documentation, and working closely with the medical staff for appropriateness of hospitalization. The role includes initial utilization and discharge assessment, concurrent utilization review, monitoring of progress through the acute‑care continuum, and coordination of discharge planning activities with the Social Worker and interdisciplinary staff.

• Makes patient rounds with and without physician to evaluate and assess the needs of the patient, assigning a designated level of risk of identified barriers to plan of care and discharge/transition needs.
• Reviews the medical records daily to complete utilization review documenting Admission Justification and Ongoing Plan of Care.
• Arranges for facility cooperation in the performance of the delivery of care and awareness of psychosocial needs for resolution of individual cases.
• Interviews patients, family members, and significant others to summarize immediate level of comfort and pending problems that present as a deterrent to delivery of care.
• Acts as a liaison between patient, family, significant other, and hospital staff during periods of crisis.
• Communicates with nursing and medical staff in assessing the psychosocial needs of the patient to monitor and oversee the discharge plan.
• Communicates with patients, family, significant others in identifying the discharge need of the patient and any barriers in the completion of a safe discharge goal.
• Maintains current working knowledge of HFAP, COBRA, EMTALA, OSHA and other regulatory standards.
• Maintains current, accurate documentation in the patient's medical record.
• Maintains current and accurate data collection related to the quality of the delivery of care of the department.
• Works closely with the Social Worker in assigning tasks and responsibilities in the discharge planning process.
• Maintains a working knowledge of and updates community resources in areas of practice.
• Participates in reporting abuse, neglect or exploitation suspected prior to hospitalization as indicated by hospital protocol. Report findings to the appropriate agency.
• Works closely with the Clinical Documentation Specialist to identify and update the working DRG as indicated by patient acuity.
• Contacts attending physicians as needed to ensure patient medical information documented in medical record meets quality, and appropriate reimbursement.
• Coordinates in an interdisciplinary manner with medical and nursing personnel to clarify patient’s medical status needs and coordinating plans for discharge/transition from…