Appalachian Regional Healthcare

Case Manager

Job Locations US-KY-Barbourville
Requisition ID
2025-34094
# of Openings
1
Category
Health Professional
Community
BARBOURVILLE - KNOX COUNTY
Posted Date
1 day ago(4/2/2025 9:21 AM)
Position Type
Regular Full-Time
Department
Social Services
Shift
Day Shift

Overview

The Case Manager is accountable for coordinating the care and service of selected patient population across a continuum of care; ensuring and facilitating the achievement of optimal quality, clinical and cost outcomes; coordinating services and resources needed by the patient and family; and assuming a leadership role with the multidisciplinary team.

Responsibilities

  • Coordinates and collaborate with physicians, provider, multidisciplinary team and other health care professionals concerning patient’s goals, plan of care and progress.
  • Develop, implement, interpret and maintain work standards and procedures that are in compliance with ARH’s policies and governmental regulations and various regulatory agency requirements.
  • Maintain up-to-date knowledge in the field to allow recommendation of new services, products and equipment.
  • Assesses, develop, implementation, and monitors comprehensive plan of care through an interagency multi-disciplinary team process in conjunction with the patient and family internal and external settings.
  • Revise and adjust on a daily basis the plan of care to accommodate the needs of the individual patient based on continuing assessment of patient condition.
  • Assumes responsibility and accountability for the care plan and effectiveness and patient outcomes.
  • Assesses the appropriateness of the level of care; diagnostic testing and clinical procedures; quality and clinical risk issues; and documentation of medical record completeness.
  • Develop, implement, monitor and evaluate clinical pathways and clinical pathway variances.
  • Monitor patients' progression through clinical pathways.
  • Communicates continually with patients, families, medical staff, caregiver and third payors as necessary.
  • Assist the patients and families with the educational process prior to admission, during hospital stay and after discharge, as indicated.
  • Assures patients understand the third-party payer guidelines and to arrange discharge planning referrals as ordered by patients’ physicians.
  • Develops and maintains a positive work climate and supports the overall team effort of the hospital.
  • Assists in collecting and analyzing outcome data.
  • Performs other duties as assigned or directed.

Qualifications

  • Associate's Degree Nursing Preferred
  • 4-6 years Preferred
  • Advanced knowledge of problem solving and decision making skills.
  • Strong multi-tasking abilities with the ability to handle competing deadlines; flexible and adaptable.
  • Ability to deal tactfully with customers and community.
  • Advanced communication skills used to lead a team.
  • Advanced execution and delivery (planning, delivering, and supporting) skills.
  • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one.
  • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.
  • Mastery knowledge of phases of care transitions and resources available for patients.
  • Mastery of digital literacy skills.
  • Ability to handle sensitive information ethically and responsibly.
  • Registered Nurse Preferred
  • LPN Required

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