Reports to the Manager, Case Management. Meets with patients/family/significant other to assess post hospital needs and facilitates linkage with appropriate community services and resources. Continually monitors patients in assigned areas to assess length of stay and discharge planning needs. Serves as a resource to the health care staff on available community resources and post acute services criteria.
MISSION & VISION
Mission: To enhance the physical, mental and emotional well-being of the communities we serve as the community's provider of outstanding quality, superior value and comprehensive health care services.
Vision: Our vision is to achieve:
Innovative health care and well-being services of the highest quality at the greatest value
Easy access and convenience
Outstanding patient experiences
Ongoing education involving physicians, patients and the community
JOB SPECIFICATIONS
Education and Experience
The knowledge, skills, and abilities as indicated below are normally acquired through the successful completion of nursing program from an accredited school of nursing with a current Indiana license to practice as a Registered Nurse, a Bachelor's (BSW) or Master's (MSW) of Social Work. A minimum of one to two years of job-related experience is required. After January 1, 2014, candidates are required to have or obtain a BSN within three years of employment as a Registered Nurse.
Knowledge & Skills
Possesses outstanding interpersonal skills with focus on listening, assertion, conflict resolution and collaboration.
Understands function of complex healthcare organization providing broad scope of services.
Ability to communicate positively and effectively with all levels of participants in health care delivery in both formal and informal settings and with individuals as well as groups of varying size and through documentation.
Clinical expertise appropriate for designated patient population.
Skill in auditing outcomes concurrently and retrospectively.
Capable of managing complex workload and establishing priorities.
Maintains up-to-date knowledge of reimbursement processes and community resources.
Knowledge of health care delivery systems across the continuum of service providers.
Working Conditions
Complexity of workload and communications may involve mental stress.
Physical Demands
Physical demands generally light, but at times may require direct patient contact (lifting, bending, exposure to biomedical hazards).