Guthrie Case Reddit Jobs in Usa
5,039 positions found
Position Summary:
Employee works with other members of the patient care team to deliver care to specific patient populations. The employee will maintain competency for population specific groups with consideration of physical, communication, safety, nutrition, and psychosocial needs.
Education, License & Cert:
High School Grad or Equivalent
Experience:
Must be currently enrolled in a practical nurse education and Guthrie's tuition sponsorship program for licensed practical nurses.
Essential Functions:
Participates in the delivery of patient care for population groups under the direction of an RN/LPN including but not limited to the following: • Lifting, turning, and positioning patients utilizing Safe Patient Handling equipment (> 35 pounds), as appropriate. • Observing confused and difficult patients • AM/PM Hygiene care • Toileting, shaving, washing, brushing hair, dental and mouth care • Feeding • Assisting with range of motion exercises • Mobilizing patients ‐ transfers and ambulation, utilizing Safe Patient Handling equipment (> 35 pounds), as appropriate and following the Mobility protocol • Exercise protocols • Discontinuing foley catheter (PA only) • Simple dressing changes • Incentive spirometry supervision • Surgical preps • Postmortem care • Administers cleansing enemas • Removal of peripheral IV catheters • Sits with confused/disoriented patients or those requiring 1:1 observation for safety/suicide purposes, as assigned • Performs and records accurately: • Temperature, pulse, respirations, blood pressure, heights and weights • I & O • Records bowel movements • ADLs and activities • Performs and records the following specimen collection: • Obtains urine, stool, and sputum specimens for patients; instructs patients in proper specimen collection technique. • Completes the following support activities. • Completes EKGs. • Transports patients as needed • Serves, sets up and retrieves trays • Distributes water pitchers as appropriate • Orders and distributes nourishment. • Transports equipment • Transports blood products to and from the patient care area. • Participates in patient safety/patient satisfaction. • Answers call bells • Participates in patient rounding • Reports any signs of abuse to the nursing staff • Recognizes, troubleshoots and initiates corrective action needed on equipment. • Maintains neat and tidy environment (empties laundry, delivers equipment, keeps patient rooms clean and safe). • Inventories and assures disposition of patients' belongings when admitted, transferred, and/or discharged. • Assures proper storage of equipment. • Recognizes emergency situations and initiates plan of action • Notifies RN/LPN of any changes seen in patient's condition • Complies with policies and procedures of the hospital/nursing department. • Supports the philosophy of the hospital and department of nursing. • Maintains CPR certification • Demonstrates cost‐effective patient care by demonstrating proper use and care of equipment, appropriate and prudent use of supplies, accurate charging of supplies; performing other division‐specific tasks, and appropriate utilization of available resources. • Participates in performance improvement activities to improve service and care. Demonstrates strong communication and organizational skills. • Ability to communicate using telephones, computer systems. • Answers telephone promptly and politely, identifying self, title, and department. Receives and sends messages in an accurate and timely fashion. • Communicates with the patients, family, and members of the healthcare team in a concise, tactful and considerate manner. Must represent the hospital in a professional courteous manner, while being sensitive to how others perceive both verbal and non‐verbal communications.
Other Duties:
• Assists in the orientation of new personnel and serves as a role model to other employees. • Demonstrates willingness to accept non‐routine work assignments as appropriate. • Encouraged to participate in community activities • Attends and participates in unit council (70% attendance).
Rev: 2-29-2024
Pay Range $17.00-$23.85/hr DOE
Location Address:
5901 Harper Dr NEAlbuquerque, NM 87109-3587
Compensation Pay Range:
Minimum Offer $62,400.00Maximum Offer $95,305.60
Summary:
Build your Career. Make a Difference. Presbyterian is hiring an RN Case Manager for the Employee Health Clinic at Northside. The Case Manager independently facilitates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomesHow you grow, learn and thrive matters here.
• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system
Type of Opportunity: Full time
FTE: 1.00
Job Exempt: Yes
Work Shift: Days (United States of America)
Responsibilities:
- Identifies cases appropriate for case management. Educates providers and other PHS/PHP departments on case management services. Screens new referrals for case management appropriateness.
- Conducts in-depth assessment which includes, but is not limited to, psychosocial, physical, medical, environmental and financial parameters. Advocates for members in caseload
- Identifies cases appropriate for case management. Educates providers and other PHS/PHP departments on case management services. Screens new referrals for case management appropriateness.
- Conducts in-depth assessment which includes, but is not limited to, psychosocial, physical, medical, environmental and financial parameters. Advocates for members in caseload.
- Formulates, implements, coordinates, monitors, and evaluates strategies for patients and families collaboratively with members, families and health care teams. Develops, documents and implements plans which provide appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.
- Actively participates in the development of clinical guidelines and pathways and incorporates processes into the role of case managers.
- Educates providers on health management strategies which can reduce need for one-on-one case management services. Educate physicians, nurses, ancillary support staff, patients, and families regarding case management role.
- Refers patients to appropriate inpatient, outpatient, and community resources.
- Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and patient satisfaction. Collect clinical path variance data that indicate potential areas for improvement of case and services provided within the system. Generates reports, which demonstrate efficacy through direct cost-savings and outcome measures.
- Complies with Case management Society of America Standards for Case Management Practice and with CCMC code of Professional Conduct for Case Managers.
- Performs other functions as required.
Qualifications:
*Associates Degree in Nursing
*State of New Mexico or Compact State Nursing License
*BLS certification REQUIRED at at time or hire
*Five years of experience in clinical nursing with a minimum of three to five in case management, utilization management, quality assurance, home care, community health, or occupational health.
*CCM certification within 3 years of hire.
*Employee Health experience preferred.
We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively. The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.Job Description
Minimum Qualifications
Education: Bachelors of Science in Nursing OR Social Work (BSW). Master’s degree preferred*
*Note: effective March 1, 2019 and going forward, these are the minimum qualifications for this role; incumbents hired before March 1, 2019 may have commensurate experience in lieu of BSN.
Licenses/Certifications:
Current and valid license to practice as a Registered Nurse in the state of Texas or
Licensed Master Social Worker (LMSW) required, LCSW preferred
Case Manager Certification required
Experience/ Knowledge/ Skills:
Minimum five (5) years experience in utilization management, case management, discharge planning or other cost/quality management program
Three (3) years of experience in hospital-based nursing or social work
Three (3) years of demonstrated leadership experience
Knowledge of leading practice in clinical care and payor requirements
Self-motivated, proven communication skills, assertive
Background in business planning, and targeted outcomes
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management
Working knowledge of the concepts associated with Performance Improvement
Demonstrated effective working relationship with physicians
Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes
Effective oral and written communication skills
Principal Accountabilities
Assists in supervising and managing all aspects of the local level program.
Supports growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.
Responsible for coordinating day to day operations of the program at the unit level.
Assists in identifying and achieving optimal targeted financial outcomes via the inpatient case management process.
Participates in departmental personnel functions (hiring, firing, etc.) in conjunction with the Director of Case Management.
Provides input to annual and interim performance appraisal reviews for the professional and non-professional staff in department.
Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.)
Responsible for leading a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.
Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively. The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.Job Description
Minimum Qualifications
Education: Bachelors of Science in Nursing OR Social Work (BSW). Master’s degree preferred*
*Note: effective March 1, 2019 and going forward, these are the minimum qualifications for this role; incumbents hired before March 1, 2019 may have commensurate experience in lieu of BSN.
Licenses/Certifications:
Current and valid license to practice as a Registered Nurse in the state of Texas or
Licensed Master Social Worker (LMSW) required, LCSW preferred.
Case Manager Certification required.
Experience/ Knowledge/ Skills:
Minimum five (5) years experience in utilization management, case management, discharge planning or other cost/quality management program.
Three (3) years of experience in hospital-based nursing or social work.
Three (3) years of demonstrated leadership experience.
Knowledge of leading practice in clinical care and payor requirements.
Self-motivated, proven communication skills, assertive.
Background in business planning, and targeted outcomes.
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management.
Working knowledge of the concepts associated with Performance Improvement.
Demonstrated effective working relationship with physicians.
Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
Effective oral and written communication skills.
Principal Accountabilities
Assists in supervising and managing all aspects of the local level program.
Supports growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.
Responsible for coordinating day to day operations of the program at the unit level.
Assists in identifying and achieving optimal targeted financial outcomes via the inpatient case management process.
Participates in departmental personnel functions (hiring, firing, etc.) in conjunction with the Director of Case Management.
Provides input to annual and interim performance appraisal reviews for the professional and non-professional staff in department.
Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
Responsible for leading a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.
Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively. The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.Job Description
Minimum Qualifications
Education: Bachelors of Science in Nursing OR Social Work (BSW). Master’s degree preferred*
*Note: effective March 1, 2019 and going forward, these are the minimum qualifications for this role; incumbents hired before March 1, 2019 may have commensurate experience in lieu of BSN.
Licenses/Certifications:
Current and valid license to practice as a Registered Nurse in the state of Texas or
Licensed Master Social Worker (LMSW) required, LCSW preferred
Case Manager Certification required
Experience/ Knowledge/ Skills:
Minimum five (5) years experience in utilization management, case management, discharge planning or other cost/quality management program
Three (3) years of experience in hospital-based nursing or social work
Three (3) years of demonstrated leadership experience
Knowledge of leading practice in clinical care and payor requirements
Self-motivated, proven communication skills, assertive
Background in business planning, and targeted outcomes
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management
Working knowledge of the concepts associated with Performance Improvement
Demonstrated effective working relationship with physicians
Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes
Effective oral and written communication skills
Principal Accountabilities
Assists in supervising and managing all aspects of the local level program.
Supports growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.
Responsible for coordinating day to day operations of the program at the unit level.
Assists in identifying and achieving optimal targeted financial outcomes via the inpatient case management process.
Participates in departmental personnel functions (hiring, firing, etc.) in conjunction with the Director of Case Management.
Provides input to annual and interim performance appraisal reviews for the professional and non-professional staff in department.
Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.)
Responsible for leading a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.
Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively. The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.Job Description
Minimum Qualifications
Education: Bachelors of Science in Nursing OR Social Work (BSW). Master’s degree preferred*
*Note: effective March 1, 2019 and going forward, these are the minimum qualifications for this role; incumbents hired before March 1, 2019 may have commensurate experience in lieu of BSN.
Licenses/Certifications:
Current and valid license to practice as a Registered Nurse in the state of Texas or
Licensed Master Social Worker (LMSW) required, LCSW preferred.
Case Manager Certification required.
Experience/ Knowledge/ Skills:
Minimum five (5) years experience in utilization management, case management, discharge planning or other cost/quality management program.
Three (3) years of experience in hospital-based nursing or social work.
Three (3) years of demonstrated leadership experience.
Knowledge of leading practice in clinical care and payor requirements.
Self-motivated, proven communication skills, assertive.
Background in business planning, and targeted outcomes.
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management.
Working knowledge of the concepts associated with Performance Improvement.
Demonstrated effective working relationship with physicians.
Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
Effective oral and written communication skills.
Principal Accountabilities
Assists in supervising and managing all aspects of the local level program.
Supports growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.
Responsible for coordinating day to day operations of the program at the unit level.
Assists in identifying and achieving optimal targeted financial outcomes via the inpatient case management process.
Participates in departmental personnel functions (hiring, firing, etc.) in conjunction with the Director of Case Management.
Provides input to annual and interim performance appraisal reviews for the professional and non-professional staff in department.
Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
Responsible for leading a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.
Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
This hybrid role allows candidates to work primarily from home while completing occasional in-person member visits in their local area as needed.
As part of the Integrated Care Management (ICM) team, the Case Manager works with members who have complex health and social needs.
Through collaboration, the Case Manager helps coordinate services and advocate for appropriate care to improve health outcomes and promote cost-effective care solutions.
Key Responsibilities Conduct comprehensive assessments of members’ health, social, and care coordination needs.
Develop and implement individualized case management plans based on member needs, benefit plans, and available resources.
Collaborate with members, healthcare providers, and community organizations to coordinate services and support care plans.
Apply clinical guidelines, policies, and regulatory standards to ensure appropriate benefit utilization and care management.
Utilize clinical tools and data review to evaluate member eligibility and determine appropriate care strategies.
Advocate for members by identifying resources and coordinating services to address medical and social determinants of health.
Maintain accurate documentation while navigating multiple systems and case management platforms.
Participate in care management and quality management processes in compliance with regulatory and accreditation standards.
Caseload Information Telephonic/Hybrid Case Managers: Caseloads typically range from 250–500 members , depending on stratification and complexity of member needs.
Field-Based Case Managers: Caseloads typically range from 30–100 members , depending on market needs and complexity.
Required Skills & Qualifications Active, unrestricted Illinois license required: RN, LCSW, or LCPC.
Minimum 3–5 years of clinical experience required.
2–3 years of care management, discharge planning, or home health coordination experience preferred.
Experience working with case management processes and care coordination programs preferred.
Experience with Illinois waiver services preferred.
Ability to work independently in a remote/home-based environment while collaborating with teams virtually.
Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint) and ability to navigate multiple systems.
Education Active Illinois licensure required as one of the following: Registered Nurse (RN) Licensed Clinical Social Worker (LCSW) Licensed Clinical Professional Counselor (LCPC) Keywords: case management, care coordination, discharge planning, RN case manager, LCSW case manager, LCPC case manager, managed care, Medicare, Medicaid, integrated care management, telephonic case management, hybrid case manager, population health, healthcare coordination, care management
Remote working/work at home options are available for this role.
Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant.
LSF is looking for talented Case Manager who want to make an impact in the lives of others.
The Case Manager possess social service and engagement skills and an ability to promote a culturally sensitive, performance-driven culture to meet child welfare programmatic goals.
Essential Functions:
- Supports the case management supervisor in promoting efforts to achieve team and performance goals
- Maintains a caseload of children and families and ensures dependency milestones are achieved timely and with a high degree of quality.
- Accepts cases assigned by unit supervisor and assesses the safety of children in their primary residence within two working days of case transfer staffing and with identified parents. Completes a Family Assessment within 15 working days of case transfer staffing.
- Negotiate and develop a case plan through Family Team Conferencing based on identified strengths and needs of the family, the circumstances bringing the family into care, recommendations provided by the Comprehensive Behavioral Health Assessment and other relevant data. This plan is to be created in collaboration with the parents, Guardian Ad Litem, foster parents and other pertinent parties with the goal of reunification or other permanency for the child.
- Visits the child in their primary residence according to required frequency, but no less than once every 25 days. At least one visit each quarter is to be unannounced.
- Accurately documents all case activities in the Florida Safe Families Network database within 48 hours. Maintain the physical case file in chronological order, by subject, in accordance with the standardized case file format.
- Submits service requests to the lead agency and provides clients with timely referrals to services. Develops and maintains knowledge of community resources, program eligibility requirements, key contact persons, emergency procedures, and waiting lists of available resources. Maintains regular contact with service providers and documents service progress in FSFN.
- Complete and submit court documentation within required time frames. Prepares for, attends, and participates in all court activities as necessary.
- Arrange for, attend, and participate in individual case staffings as necessary. Completes and presents at all required staffings.
- Conduct initial and/or ongoing child safety assessments as required. Prepare initial and on-going safety plans as necessary.
- Arrange for emergency placement, emergency medical treatment, and emergency services for children at risk.
- Conduct diligent searches for parents and family members when deemed necessary and thoroughly document that the effort has been made to find the parents and family members.
- Conduct home studies as required for prospective placements.
- Provide relevant medical, psychological, behavioral and educational background information about the child or children to prospective care-givers as needed.
- Plan and facilitate parental and sibling visits as needed and appropriate.
- Transport and supervise children as needed.
- Ensure that all Independent Living functions are completed as required
- Attend all appointments, staff meetings, trainings, seminars, workshops, etc., as necessary and as required by the supervisor.
- Function as agency on-call Case Manager as scheduled.
- Organize, prioritize and complete all work assignments by the established deadlines.
All duties are performed in accordance with the following standards:
- Courtesy: Treat customers, the public and staff with courtesy, respect and dignity and presents a positive public image.
- Communication Skills: Keep supervisor fully informed of activities, pertinent issues, upcoming events and potential problems. Demonstrate effective oral and written communication skills in daily work.
- Team Work: Support the unit, department and/or organization and work with others in an effort to accomplish the goals of the unit, department and/or organization.
- Safety: Employee makes a reasonable effort to adhere to established safety procedures and practices in the work area.
- Training: Attend and successfully complete all mandated training courses; obtain and maintain child welfare certification through Florida Certification Board.
Confidentiality: Adhere to all confidentiality rules. - On-Call: Perform on-call responsibilities as assigned. Carry an active cell-phone at all times during regularly scheduled work hours and during on call hours. Immediately respond to all calls.
Other Functions:
Perform other related duties and special assignments as required.
Physical Requirements:
Must have a high level of energy, be adaptable to irregular hours, be flexible to rotate on-call as needed, be able to travel as needed.
Valid driver's license and appropriate auto liability insurance required.
Education:
Must possess a Bachelor's degree in a Human Services field. Degree in Social Work preferred.
Experience:
Must have a minimum of one year of relevant experience and achieve child welfare certification within one year of hire.
Skills:
- Excellent written and verbal communication skills.
- Possess leadership skills to help drive team goals
- Ability to remain professional and composed in a fast-paced, high stress work environment
- Familiarity with and ability to use Microsoft Office programs Word and Excel.
- Ability to type 45 words per minute.
- Ability to drive both locally and throughout the state in connection with the duties of this position.
- To fully understand case ownership responsibility as the integrator of all services and supports identified for each child, including therapy, other mental health services, health and dentistry, developmental services, educational support, permanency and safety; as well as their responsibility to make trauma sensitive transitions when it is determined that a caretaker lacks the needed level of responsibility to care for their children.
Other:
Must demonstrate sensitivity to our service population's cultural and socioeconomic characteristics and needs.
Principal Accountabilities:
- Reports directly to and follows directives of Case Management Supervisor.
- Works cooperatively with Program Director, other Case Managers and Supervisors, placement staff, Protective Investigators, Child Welfare Legal staff and agency support staff.
- Effectively manages time to ensure that all home visits are completed as required, all documentation is entered into FSFN within 48 hours, court documentation is prepared according to specified time frames and court appearances are attended as necessary.
- Follows Florida Statutes, Administrative Code, written policies and orders of the Dependency Court in managing cases toward goals recorded in case plans.
Why work for LSF?
LSF offers 60 programs across the state of Florida serving a wide range of populations in need. Mission Driven staff members become part of the LSF community while transforming the lives of those in need. Our staff additionally find growth opportunities as they explore areas of interest within the organization.
Amazing benefits package including:
- Medical, Dental and Vision
- Telehealth (24/7 online access to Doctors)
- Employee Assistance Program (EAP)
- Employer paid life insurance (1X salary)
- 13 paid holidays + 1 floating holiday
- Generous PTO policy (starting at 16 working days a year)
- Note: Head Start employees paid time off and holiday schedule may differ
- 403(b) Retirement plan with 3% discretionary employer match OR 3% student loan repayment reimbursement
- Tuition reimbursement
LSF is proud to be an equal opportunity employer.
Lutheran Services Florida is mandated to perform background screenings for employment in accordance with the Florida Care Provider Background Screening Clearinghouse as outlined in Section 435.12, Florida Statutes. Additionally, pursuant to House Bill 531 (2025), Lutheran Services Florida must ensure that all job vacancy postings and advertisements include a clear and conspicuous link to the AHCA Clearinghouse website and its requirements. For more information on background screening requirements please visit:
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
MercyOne Dyersville Medical Center is a 20-bed critical access hospital serving 17 rural communities in western Dubuque County, offering the following services: Emergency/Trauma, Acute and Skilled Care, Rehabilitation Services (PT/OT/Speech), Ambulatory Surgery, Home Care, and Specialty Clinics. MercyOne is committed to providing quality, personalized and safe health care close to home.Join our MercyOne Dyersville Team as an RN Case Manager!
Schedule:
- Monday-Friday, flexible day shift hours
- Unit support/coverage as needed
The Case Manager coordinates care across an episode and/or the continuum for clients with complex problems and diverse needs. The Case Manager’s focus is to maintain patients at an optimal level of health and to support self-care. Case Managers collaborate with physicians, social services, nurses, and community agencies to define care options and resources, to plan cost effective quality care and to achieve optimal outcomes.
Specific responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services. Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines. Works proactively to coordinate the services of physicians, nurses, and other disciplines to effectively prepare patients for discharge. The Case Manager facilitates program development, efficient care delivery processes and quality improvement including tracking of resource utilization and outcome measures. The Case Manager is accountable for improving service using cost and quality outcome data, current clinical practices and related research, regulatory requirements and comparative benchmark opportunities.
Customers include patients, families/visitors, physicians, physician assistants, nurse practitioners, case managers, representatives of third-party payers, representatives of referring agencies, interdepartmental and intradepartmental staff, vendors, and volunteers.
ESSENTIAL FUNCTIONS
Actively knows, understands, incorporates, and demonstrates the organization’s mission and core values, including the Guiding Behaviors and Caring Model Principles, and always conducts oneself in a manner consistent with these values.
Maintains a working knowledge of applicable Federal, State and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.
- Demonstrates knowledge, skills and abilities to provide case management services appropriate to the age of patients served.
- Exhibits sound judgment, critical thinking, problem solving and decision-making skills.
- Communicates effectively with patients, significant others, and members of the health care team.
- Compiles information; keeps records, prepares or directs preparation of reports and correspondence.
- Executes daily utilization functions for assigned patients, including prior authorization, admission, precertification/certification/recertification, concurrent and retrospective review, associated analysis, and referral appropriateness.
- Participates in comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and length of stay. Demonstrates ability to promote collaboration and creativity among members of the health care team.
- Responsible for assuring thorough case management assessment, as well as early and ongoing discharge plans by collaborating with patients, families, physician, payors, and providers across the continuum of care.
- Reports potential catastrophic and high-cost cases to department director, nursing director, and finance department for appropriate medical/administrative review and management.
- Effectively manages length of stay and cost avoidance.
- Discuss cases with Utilization Review Committee and/or Executive Health Resources (EHR) when cases fail to meet admission, treatment, and length of stay and/or discharge standards.
- Attends meetings of the Utilization Review Committee and submits reports as required. Participates in the development of a written plan that describes the Utilization Review Program.
- Applies quality improvement methods and techniques to improve case management processes to maximize cost and quality benefits for MercyOne Medical Center.
- Performs other duties consistent with the purpose of the job as directed.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Must be a registered nurse and must hold an active license to practice nursing in the state of Iowa.
- Knowledge of clinical practice and case management processes normally acquired by completing a bachelor’s degree in nursing.
- Training and/or Certification in the area of case management is preferred.
- Must meet all mandatory education and training requirements within specified timeframes as required by organizational/regulatory standards.
- Three to five years’ clinical experience required.
MercyOne Dyersville Medical Center is a 20-bed critical access hospital serving 17 rural communities in western Dubuque County, offering the following services: Emergency/Trauma, Acute and Skilled Care, Rehabilitation Services (PT/OT/Speech), Ambulatory Surgery, Home Care, and Specialty Clinics. MercyOne is committed to providing quality, personalized and safe health care close to home.Join our MercyOne Dyersville Team as an RN Case Manager!
Schedule:
- Monday-Friday, flexible day shift hours
- Unit support/coverage as needed
The Case Manager coordinates care across an episode and/or the continuum for clients with complex problems and diverse needs. The Case Manager’s focus is to maintain patients at an optimal level of health and to support self-care. Case Managers collaborate with physicians, social services, nurses, and community agencies to define care options and resources, to plan cost effective quality care and to achieve optimal outcomes.
Specific responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services. Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines. Works proactively to coordinate the services of physicians, nurses, and other disciplines to effectively prepare patients for discharge. The Case Manager facilitates program development, efficient care delivery processes and quality improvement including tracking of resource utilization and outcome measures. The Case Manager is accountable for improving service using cost and quality outcome data, current clinical practices and related research, regulatory requirements and comparative benchmark opportunities.
Customers include patients, families/visitors, physicians, physician assistants, nurse practitioners, case managers, representatives of third-party payers, representatives of referring agencies, interdepartmental and intradepartmental staff, vendors, and volunteers.
ESSENTIAL FUNCTIONS
Actively knows, understands, incorporates, and demonstrates the organization’s mission and core values, including the Guiding Behaviors and Caring Model Principles, and always conducts oneself in a manner consistent with these values.
Maintains a working knowledge of applicable Federal, State and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical and professional behavior.
- Demonstrates knowledge, skills and abilities to provide case management services appropriate to the age of patients served.
- Exhibits sound judgment, critical thinking, problem solving and decision-making skills.
- Communicates effectively with patients, significant others, and members of the health care team.
- Compiles information; keeps records, prepares or directs preparation of reports and correspondence.
- Executes daily utilization functions for assigned patients, including prior authorization, admission, precertification/certification/recertification, concurrent and retrospective review, associated analysis, and referral appropriateness.
- Participates in comprehensive team meetings and conferences regarding specific patient needs that affect cost, quality, and length of stay. Demonstrates ability to promote collaboration and creativity among members of the health care team.
- Responsible for assuring thorough case management assessment, as well as early and ongoing discharge plans by collaborating with patients, families, physician, payors, and providers across the continuum of care.
- Reports potential catastrophic and high-cost cases to department director, nursing director, and finance department for appropriate medical/administrative review and management.
- Effectively manages length of stay and cost avoidance.
- Discuss cases with Utilization Review Committee and/or Executive Health Resources (EHR) when cases fail to meet admission, treatment, and length of stay and/or discharge standards.
- Attends meetings of the Utilization Review Committee and submits reports as required. Participates in the development of a written plan that describes the Utilization Review Program.
- Applies quality improvement methods and techniques to improve case management processes to maximize cost and quality benefits for MercyOne Medical Center.
- Performs other duties consistent with the purpose of the job as directed.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Must be a registered nurse and must hold an active license to practice nursing in the state of Iowa.
- Knowledge of clinical practice and case management processes normally acquired by completing a bachelor’s degree in nursing.
- Training and/or Certification in the area of case management is preferred.
- Must meet all mandatory education and training requirements within specified timeframes as required by organizational/regulatory standards.
- Three to five years’ clinical experience required.
Remote working/work at home options are available for this role.
