RN Full-time
ClearSky Health

Case Manager - (Full-time)

ClearSky Health Kenosha, WI, US
Apply Now
Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in discharge planning process. This position must integrate company values into daily practice.

Salaried Position based on experience

Hours: Monday - Friday 8:00am - 4:30pm

Essential Functions

  • Communicates, collaborates, and coordinates with team members to provide quality patient care and to ensure positive patient outcomes. Facilitates communication during interdisciplinary team conference. 
  • Responsible for accreditation standards and adheres to all standards set forth by the State and accrediting agencies of TJC and CMS.
  • Documents communication and coordination or patient activities, medical necessity, and post discharge equipment and support needs in the health care record.
  • Supports and facilitates length of stay management. Conducts utilization reviews. 
  • Communicates appropriate information for timely updates and authorizations with payors. Ensures the outcome of this information is timely communicated to clinical team and administration.
  • May be required to work during inclement weather and other staffing emergencies.
  • Provides an environment conducive to safety for patients, visitors, and staff. Assesses the risks for safety and implements appropriate precautions. Complies with appropriate and approved safety and Infection Prevention standards.
  • Completes required trainings, as assigned.
  • Performs other duties as assigned to support overall effectiveness of the organization.

Minimum Job Requirements 


Minimum Education & Experience 

  • Relevant Bachelor’s degree; OR
  • Current state clinical licensure; OR
  • 4 years relevant experience required.
  • Acute care setting preferred.
     

Required Licenses, Certifications, and/or Documentation

  • Clinical licensure required when required by state.
  • Must maintain acceptable driving record, current driver’s license, and insurability.

Required Knowledge, Skills, and Abilities

  • Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.
  • Demonstrates critical thinking skills: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Knowledge of community resources to meet post-discharge clinical and social needs.
  • Knowledge of clinical operations and procedures.
  • Ability to establish and maintain pro-active relationships with internal interdisciplinary team members, insurance companies, physicians, referral sources, community service organizations and health care facilities.
  • Ability to maintain quality, safety, and/or infection prevention standards.
  • Demonstrates general computer skills including data entry, word processing, email, and record management.
  • Effective organizational and time management skills.
  • Effective written and verbal communication skills.
  • Ability to maintain proper levels of confidentiality.
  • Ability to work closely and professionally with others at all levels of the organization.

Physical Requirements Over the Course of a Shift

  • A significant amount of standing and walking.
  • Lifting/exerting of up to 25 lbs.
  • Possible exposure to bodily fluids.
  • Visual acuity required for patient assessment and documentation.
  • Acute hearing required for accurate patient assessment.
  • Sufficient manual dexterity to operate equipment and computer keyboard.
  • Close vision and the ability to adjust focus.

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Knowledge, Skills & Abilities Required: Excellent awareness and perception skills, for the purpose of assessing a patient's needs, concerns and to recognize changes in their health condition. Excellent communication and interpersonal skills. Excellent decision making and critical thinking skills, with the ability to work independently and make sound judgments. Excellent prioritization and organizational skills. Excellent documentation, computer, and time management skills Physical Requirements and Working Conditions: Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis. Must be able to travel to all areas within the Advocate Aurora service area in all extremes of weather on all types of roads. Exposed to widely varying social and environmental conditions in patient’s neighborhoods and homes. Must be willing to work occasional overtime if needed. Required to make visits to private residences which may not be accessible to people with disabilities. Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear PPE, protective clothing and equipment as needed. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.