Marietta, GA, United States
Nov 14, 2020
OverviewnAt WellStar, we all share common goals. Thatu2019s what makes us so successful u2013 and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the most integrated healthcare provider in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare.nResponsibilitiesnAs a member of our high performing Population Health Management (PHM) Team (Ranked the Number 1 ACO in the state of Georgia and boasting high GPTW scores representing the culture of trust), the Outpatient Case Manager works with members, providers and caregivers to provide intensive, comprehensive case management and increase efficient utilization of services for patient with complex needs; identifies chronic, complex and or catastrophic cases through the case management process and or referrals and initiates intensive case management according to program guidelines. This role will utilize multiple disciplines as CM to focus on various different patient populations. The goal of the PHM OP Case Manager is to effectively manage patients on an outpatient basis and during episodes of acute hospitalizations (in conjunction with their inpatient counterparts) to assure the appropriate level-of-care is provided, optimize safe transition to home or the next level of care, prevent inpatient re-admissions and ensure that the patientsu2019 medical, environmental and psychosocial needs are met over the continuum of care. The Case Manager acts as an advocate for members and their families linking them to other appropriate disciplines on the care team to facilitate patient/family education for better self-management, navigation of the health care system, and to identify community resources as necessary. The PHM OP Case Manager:nn Will coordinate with other members of the PHM team or multidisciplinary care team to adequately coordinate and manage patient needs.nnCase Management Focus: Will have a role that primarily is the same as the telephonic call center OP case manager, but will support engaging with high opportunity patients within the hospital setting to improve coordination in care and utilization of services.n nQualificationsnRequired Minimum Education: Graduate of accredited school of nursing with a current Georgia RN license. Bacheloru2019s Degree in Nursing is highly preferred. nRequired Licensure: RN LicensurenRequired Minimum Experience: A minimum of five (5) years diverse clinical experience. Case management experience highly desirable. Case Manager certification (CCM) preferred. Computer experience with Microsoft office suite and electronic health records preferred Experience in data collection and analysis and basic research techniques desired. Case Manager certification (CCM) preferred. Computer experience with Microsoft office suite and electronic health records preferred Experience in data collection and analysis and basic research techniques desired.nRequired Minimum Skills: Knowledge of complex case management role and processes. Demonstrates customer focused interpersonal skills to effectively interact with practitioners, multidisciplinary health care team, community agencies, patients and families with diverse backgrounds, values, and religious/cultural ideals. Outgoing and autonomous, flexible personality that can engage the geriatric population over the phone and support the development of PHM CM role.Demonstrates leadership qualities including excellent organizational and time management skills, verbal and written communication skills, problem-solving, decision-making, priority setting, and work delegation. Ability to utilize risk-stratification screening criteria, review clinical data in identifying patient/client health care needs.