| Responsibilities : - Meets with patient upon admission to discuss rehabilitation process and role of manager/case manager in individual's program.
- Communicates effectively and responds to patient, families, visitors, staff and physicians, in a courteous, pleasant manner; contributes to an environment conducive to open, direct lines of communication.
- Conducts and documents initial patient assessment within 48 hours to include psychosocial, family and disposition status; determines tentative, initial discharge plans in conjunction with patient and family goals. Appropriately modifies approach to the patient based upon patient's age and developmental level.
- Involves the patient/family in the development of the plan of care by obtaining their goals for
rehabilitation. - Reviews goals with patient's family and third party payor. Maintains accurate up-to-date documentation in the medical records of patient and family contacts, communications with payors and other services performed on behalf of patient and family.
- Coordinates, evaluates, documents and reviews interdisciplinary team goals ensuring appropriate medical records sent to family, appropriate physicians and external case managers when necessary.
- Leads/Co-Leads team conferences. Documents in the medical record a summary of the team conference. Serves as the primary family contact for the treatment team, communicating within 24 hours of the care conference. Also updates external case manager and/or payor source regarding progress, plan and patient's future needs (within 24 hours of staffing or as requested by payor sources).
- Ensures the scheduling of family conferences, family participation in therapy and provides pertinent information to appropriate team members. Documents in the medical record a summary of the family conference.
- Coordinates completion of discharge plans by assisting with arrangements for family education, equipment, and services as appropriate for patient discharge level of care.
- Calls patient or family within established time frame post-discharge to ensure planned discharge recommendations are occurring and to assess if additional services are needed.
- In conjunction with the Controller, monitors and ensures discount of per diem negotiations, recertification concurrent reviews and timely reports.
- Participates in monitoring, analyzing and utilizing program evaluation data to promote quality of care, increase marketing activity and to position hospital for success.
- Maintains good working relationships with other hospital departments, participates in hospital meetings and serves on hospital committee as requested.
- Responsible for ensuring that all necessary communication between referral sources and the facilities occurs in a timely manner.
- Participates in local professional organizations.
- Maintain records, data, etc., to be used for teaching, trending, etc.
- Analyze and utilize historical data and for information from tracking systems to manage efforts and position network for success.
- Adheres to dress code, appearance is neat and clean.
- Maintains regulatory requirements, including all state, federal and Joint Commission regulations.
- Maintains and ensures patient confidentiality at all times.
- Reports to work on time and as scheduled.
- Wears identification while on duty.
- Attends departmental in-services and completes annual competencies/education requirements.
- Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff.
- Represents the organization in a positive and professional manner.
- Complies with policies and procedures regarding department operations, fire, safety, infection control and emergency management.
- Complies with all organizational policies regarding ethical business practices.
- Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
- Performs other duties as assigned.
- Adheres to Patients Bill of Rights.
- Recognizes problems and assumes responsibility for helping to solve them when they occur.
- Seeks supervisory help appropriate in problem solving and assists in implementing solutions.
- Ensures patients have a good understanding of their insurance benefits and answers questions as needed.
- Consistently demonstrates the ability to organize tasks in order of priority.
- Consistently performs job duties in an independent manner with minimal direct supervision required.
- Performs other duties as requested by authorized personnel or as necessary for effective operation of the facility, including emergency situations.
- Maintains up-to-date statistical data in computer information system within established time frames.
- Compiles weekly and monthly statistics for discharges to community vs. SNFs.
- Prepares statistics for corporate report as designated.
Professional Requirements: - Maintains regulatory requirements, including all state, federal, Joint Commission and Hospital Compliance Plan.
- Maintains cooperative working relationship and good rapport with Medical Staff, hospital departments and staff and other organizations or entities related to the hospital business.
- Represents the organization in a positive and professional manner.
- Communicates the mission, ethics and goals of the organization at all levels of the organization.
- Ability to clearly and effectively communicate with all constituents (patients, families, peers, and other healthcare team members) as needed for leadership, assessment, intervention, and professional development.
- Follows hospital and departmental policy and procedure for attendance including reporting to work, use of sick leave, vacation, break time, etc.
- Performs other duties as requested by authorized personnel or as necessary for effective operation of the facility.
- Maintains current license to practice professional nursing in the state of Ohio, if applicable.
- Actively identifies and participates in training, education and developmental activities to improve own knowledge and performance.
- Attends and participates in annual mandatory inservices and maintains current CPR certification.
- Demonstrates positive attitude toward work and the workplace and behavior that supports administrative and facility decisions; creates atmosphere of mutual trust, harmony, acceptance and respect within the hospital community.
Experience/Skills: - Current MSW in Social Work, Psychology, Sociology or Registered/Licensed Nurse licensure in Ohio.
- Minimum of 2 years social work or case management experience; acute/rehabilitation hospital experience preferred.
- Effective oral and written communication skills in English, additional languages preferred.
- Basic computer skills required.
- Must have good organizational skills and analytical ability in order to interpret information and carry out duties independently.
- Must be cooperative and have the desire to be a team player.
- Must recognize and observe confidentiality principles.
Job : Case Mgmt/MDS Primary Location : OH-Beachwood-CHC Payroll - University Hospitals Rehab Organization : 6781 - CHC Payroll - University Hospitals Rehab Shift : Day |
