Care Manager- Complex Care Center - Children's Hospital Medical Center
Cincinnati, OH
About the Job
Job Description
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's Hospital Has Been Named:
* The #1 Pediatric Hospital in the Nation - US News and World Report 2023
* One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
* A Top Hospital and Health System for Diversity recognized by DiversityInc
* One of the nation's most innovative companies by Fortune in March 2023
* An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)
JOB RESPONSIBILITIES
* Evaluation and Outcomes - Evaluate the timeliness and availability of treatments and services and adjusting level of service according to changing needs. Evaluate actual patient outcomes in relation to expected outcomes for the care managed population. Identifies quality improvement opportunities such as consistent issues with smooth care progression and communicates them to the department's management/leadership team, providing supporting data and reference to evidence based practice when possible. Participates in the management of metrics (outcomes, value, and experience) across the continuum of care.
* Monitoring - Monitor the patient's progress in achieving the goals, objectives, and expected outcomes of the plan at specified time frames. Utilizes Critical Pathways and /or Clinical Guidelines to monitor patient progress toward health. Follows through on the status of key diagnostic and treatment tests and procedures to insure continued progression. Interacts with involved departments and other members of the healthcare team to negotiate and expedite scheduling and completion of tests and procedures. Identifies, documents and communicates barriers to the plan of care to the healthcare team. Serves as the contact person for and works collaboratively with the multidisciplinary team to manage resource usage/utilization.
* Coordination - Facilitates communication and coordination between members of the health care team across all phases of care. Involves the patient, family and caregivers in the decision-making process in order to minimize fragmentation in services. Leads the coordination of care, setting priorities and encouraging the appropriate use and timeliness of health care services Facilitates a smooth transition of care by ensuring that key components of the plan of care and/or patient needs are communicated to subsequent care providers across the continuum. Demonstrates an understanding of legal and regulatory issues (HIPPA, EMTALA, regulatory agencies, CMS, legal P&P) impacting the care delivery and reimbursement process. Negotiates and advocates for the patient for services and resources needed. Provides patient/family education regarding post-acute services, community resources, or other needs as identified. Creates an environment to support patient safety by integrating patient safety goals into daily practice based on the patient's age and the population served.
* Implementation - Implementing the agreed upon plan of care. Provides self-management support to high risk/complex patients and families, including helping families identify and overcome barriers to care. Utilizes collaborative communication skills to establish a working partnership with the patient/family/caregiver, treatment team, and community resources/providers. Educates the patient, family and caregiver along with members of the health care delivery team about treatment options. Empowers the patient, family, andApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjEzODQyLjEwNTA4QGNpbmNpbm5hdGljaGlsZHJlbnNjb21wLmFwbGl0cmFrLmNvbQ
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's Hospital Has Been Named:
* The #1 Pediatric Hospital in the Nation - US News and World Report 2023
* One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
* A Top Hospital and Health System for Diversity recognized by DiversityInc
* One of the nation's most innovative companies by Fortune in March 2023
* An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)
JOB RESPONSIBILITIES
* Evaluation and Outcomes - Evaluate the timeliness and availability of treatments and services and adjusting level of service according to changing needs. Evaluate actual patient outcomes in relation to expected outcomes for the care managed population. Identifies quality improvement opportunities such as consistent issues with smooth care progression and communicates them to the department's management/leadership team, providing supporting data and reference to evidence based practice when possible. Participates in the management of metrics (outcomes, value, and experience) across the continuum of care.
* Monitoring - Monitor the patient's progress in achieving the goals, objectives, and expected outcomes of the plan at specified time frames. Utilizes Critical Pathways and /or Clinical Guidelines to monitor patient progress toward health. Follows through on the status of key diagnostic and treatment tests and procedures to insure continued progression. Interacts with involved departments and other members of the healthcare team to negotiate and expedite scheduling and completion of tests and procedures. Identifies, documents and communicates barriers to the plan of care to the healthcare team. Serves as the contact person for and works collaboratively with the multidisciplinary team to manage resource usage/utilization.
* Coordination - Facilitates communication and coordination between members of the health care team across all phases of care. Involves the patient, family and caregivers in the decision-making process in order to minimize fragmentation in services. Leads the coordination of care, setting priorities and encouraging the appropriate use and timeliness of health care services Facilitates a smooth transition of care by ensuring that key components of the plan of care and/or patient needs are communicated to subsequent care providers across the continuum. Demonstrates an understanding of legal and regulatory issues (HIPPA, EMTALA, regulatory agencies, CMS, legal P&P) impacting the care delivery and reimbursement process. Negotiates and advocates for the patient for services and resources needed. Provides patient/family education regarding post-acute services, community resources, or other needs as identified. Creates an environment to support patient safety by integrating patient safety goals into daily practice based on the patient's age and the population served.
* Implementation - Implementing the agreed upon plan of care. Provides self-management support to high risk/complex patients and families, including helping families identify and overcome barriers to care. Utilizes collaborative communication skills to establish a working partnership with the patient/family/caregiver, treatment team, and community resources/providers. Educates the patient, family and caregiver along with members of the health care delivery team about treatment options. Empowers the patient, family, andApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjEzODQyLjEwNTA4QGNpbmNpbm5hdGljaGlsZHJlbnNjb21wLmFwbGl0cmFrLmNvbQ
Source : Children's Hospital Medical Center
