Job Description

University of Utah Job Description

Job Summary

This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes across the patient care continuum from pre-admission through post-discharge. Case management services include monitoring patient care to ensure progress toward desired outcome, addressing patient and family needs, resolving obstacles to effective care, coordinating care with payers and vendors, patients and families. Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients discharge plan. This position may be required to access and administer medications within their scope of practice and according to State Law.

Qualifications

Required

• One of the following
• Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.
• Current Licensed Clinical Social Worker (L.C.S.W.) certificate for clinical practice in the State of Utah.
• Current license to practice as a Certified Social Worker in the State of Utah.
• Current license to practice as a Clinical Mental Health Counselor in the State of Utah.

• Two years of professional experience in a clinically related area.
• Dependent upon the department of hire, may be required to provide reliable transportation for site visits.

Preferred

• Basic Life Support Health Care Provider card through American Heart Association.
• A Certified Case Management designation.
• Previous experience in clinical resource management activities and third party payer interactions.

This position is patient-sensitive and must fulfill all associated requirements. We protect our patients, coworkers and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification.  It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Essential Functions

• Coordinates case management process from patient's entry into the healthcare system to post-discharge, including outpatient settings. Coordinates care and resources with physicians, social workers, and other team members to achieve optimal patient outcomes.
• Identifies patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request.
• Monitors and documents quality of care to ensure patient care plan goals are appropriate and that they are understood and implemented. Routinely assesses client and family response to services, while also measuring care plan effectiveness and necessity. Identifies patient needs, including those of an ethical and cultural nature, and ensures they are addressed.
• Facilitates cost effective outcomes by determining appropriate level of care based on diagnosis, severity, intensity of services required, and other relevant criteria, using national and regional length of stay standards and community norms.
• Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes.
• Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and reimbursement.
• Identifies actual and potential delays in service requests or treatment and communicates them to health care team so steps can be taken to eliminate or minimize delays.
• Works with other team members to plan appropriate and timely discharges.
• Establishes measurable discharge planning and self-management goals that promote safe, cost effective, high quality outcomes.
• Provides oversight of issuance of CMS Important Message to patients.
• Supervises technical support staff assigned to individual case management teams.
• May set up patients' follow up appointments and performs post discharge phone calls to patients per care team design.
• May be required to complete home or site visits as required by the department.

Problem Solving

• Ability to perform the essential functions of the job as outlined above.
• Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills.
• Knowledge of funding resources and clinical standards and outcomes.
• Ability to provide care appropriate to the population served.
• Demonstrated independent judgment to assess and meet client needs. Ability to have meaningful outcome oriented dialogues with patients, families, various patient care disciplines, ancillary departments, health care and community agencies, third party payors, and Health Science Center professional schools in coordinating care and services for patients.
• The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned area.
• The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.

Comments

Employee must be able to meet the following requirements with or without an accommodation.

• This position involves light work that may exert up to 20 pounds and may consistently require light work involving lifting, carrying, pushing, pulling or otherwise moving objects involving patient care or medical equipment. This position does not provide any direct patient care. Workers in this position may be exposed to infectious diseases and may be required to function around prisoners or behavioral health patients.

The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.  The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.