The Care Manger combines clinical expertise with knowledge of medical appropriateness criteria, and applies principles of utilization and quality management, discharge planning and the management of clinical/financial resources as a facilitator and consultant to the multidisciplinary patient care team. The Care Manager predicts, facilitates and evaluates the transition of patients across the care continuum and ensures linkages with post-acute discharge providers.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Demonstrates the knowledge base and essential psychomotor skills required to effectively carry
out the job.
Demonstrates the ability to interpret, analyze, and apply relevant data to prioritize and determine a
course of action appropriate to meet the patients' management needs.
Demonstrates effective communication and collaboration with culturally and professional interpersonal skills.
Demonstrates effective time management and the initiative to carry out job responsibilities in a timely manner.
Effectively assess, plans, implements and evaluates strategies that ensure the appropriate utilization of clinical resources and management of length of stay.
Effectively assess, plans, implements and evaluates the effectiveness of the discharge plan for the assigned caseload of patients.
Education and Experience
Minimum Required Education: RN required, BSN preferred. CM certification strongly desirable. Must be self-directed and possess critical thinking and excellent organizational skills.
Experience: Greater than 3 years clinical nursing experience required. Utilization management, discharge planning, home health, ambulatory experience preferred.
Certificates, Licenses, Registrations
CCM or ACM or any approved certification body required within 2 years of eligibility for the exam
