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Job Description:

This position is responsible for providing management and oversight of daily care management activities provided in the Ambulatory/Community Setting. He/she will work in partnership with the Medical Staff, nursing, clinical, and Revenue Cycle leaders to ensure the provision of optimal patient care, attainment of financial goals, and development of leaders. This position has departmental accountability for ambulatory care management services (may include all or a combination of the following: Medical social work (including trauma), transition planning, and care coordination. This position typically reports to the Enterprise Care Management Director Ambulatory & Community. Typical Distribution of Job Duties: 50% Tactical, 40% Operational, 10% Strategic. Tactical Duties include ensuring appropriate staffing, availability of equipment, interdepartmental relations, and employee relations (day-to-day activities). Operational Duties includ process improvement, and employee performance evaluations in coordination with clinic leadership. Strategic Duties include developing goals to meet the Enterprise Care Management Strategic Plan, meeting NCQA requirements and contributing to creation of top performing care management program at Intermountain.

ScopeAs a Care Manager you need to know how to
Coordinates the care and services for patients identified as needing assistance or meeting Care Management criteria.
Collects in-depth information about a patients medical, functional, and social condition, to identify individual needs in order to develop a plan to meet those needs.
Works with patients and family/caregivers to determine specific goals and actions based on assessment.
Coordinates discharge planning.
Executes specific interventions to meet established goals.
Organizes, integrates and coordinates the necessary resources to accomplish the goals and plan.Assesses the patients prior level of functioning, access to and/or use of community resources and available support systems.
May conduct psychosocial needs assessments and interventions based on site guidelines, licensure, and scope of practice.
May support behavioral health processes based on site guidelines.Assists the care team in developing a plan of care which includes, but is not limited to: assuring appropriateness of services and care setting, assuring individualized support and education, determining the need for continued services, planning for discharge, and identifying and connecting patients/families with available community resources if needed.
Collaborates with Physicians and other members of the health care team on the patients behalf.Identifies appropriate admission and continued stay issues. Enhances the quality of patient care through effective and efficient use of resources.
Helps to identify strategies for reducing length of stay and appropriate utilization of services.
Utilizes criteria including clinical pathway data and implements strategies to resolve controllable variances.Attends, facilitates and participates in rounds and case conferences.
Advocates for patient rights.Minimum QualificationsSocial Worker:

- Master degree in Social Work from and accredited program is required
- LCSW/LMSW in Montana

- LSW with LCSW in 3 years of employment.

- Three (3) years experience as a Care Manager in an acute care setting or community setting.

RN:

- BSN from an accredited program is required

- Active RN license in Montana

- Three (3) experience as a Registered Nurse in an acute care setting

Preferred
- At least five (5) years of care management in an acute care setting

- Care Management Certification is preferred

Physical Requirements:

Anticipated job posting close date:

05/09/2024

Location:

Intermountain Health St Vincent Regional Hospital

Work City:

Billings

Work State:

Montana

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$34.48 - $61.27

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our, and for our ; and our commitment to.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Our facilities do not discriminate against any person on the basis of race, color, national origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities

Montana Jobs