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Case Management Social Worker

Company: Wyoming Medical Center
Location: Casper
Posted on: July 6, 2019

Job Description:

The WMC/WHMG case manager will aid in the coordination of care and services to better facilitate the delivery of care and services to the people of Casper and the greater Wyoming area. The case manager works to ensure the provision of quality healthcare along the continuum, decrease fragmentation, enhance the patient's quality of life, and efficiently use patient care resources while maximizing cost containment opportunities. The case manager guides the integrated team in the function of care coordination, facilitation of referrals, education, advocacy, and outcomes driven evidence-based practices, thus migrating avoidable utilization of high acuity care settings. The case manager will be an intricate member of the WMC/WHMG health care team.

Duties and Responsibilities:

  • The employee shall comply with all safety and health standards, and all rules, regulations, and orders which are applicable to the individual's own position, actions, and conduct.
  • Assesses patient's clinical course and provides ongoing patient care coordination. Assesses patient and family adaptations to illness or disability and capacity to provide for patient's care needs. Identifies obstacles to meeting care goals.
  • Collaborates with physicians, nurses, and other disciplines to foster a coordinated approach to the patient's care.
  • Assists medical staff to investigate and resolve problems and concerns related to the patient's care.
  • Identifies and facilitates resolution of process issues to avoid delays in patient care.
  • Facilitates development or revision of care pathways in parallel with best practices and order sets, in collaboration as appropriate with physicians and support services.
  • Seeks peer and supervisor consultation regarding problematic cases or cases demonstrating deviations from the plan of care.
  • Facilitates the clinical progression for a patient population through tracking outcomes.
  • Provides in-service training and collaborates with clinical staff.
  • Champions current evidence-based clinical practice guidelines. Initiates and develops improved practices in collaboration with clinical staff. Seeks educational opportunities within the primary work environment. Evaluates current research and studies and applies findings to improve case management practice and service delivery.
  • Assures referrals for discharge planning are timely and appropriate.
  • Serves as a resource for and appropriately disseminates data.
  • Monitors daily inpatient census to identify and monitor complex patient population as part of WHMG Transition Care Program to reduce readmission rate and improve outcomes.
  • Coordinates referrals for WHMG Palliative and Hospice program.
  • Performs home visits as assigned.
  • Through optimal combination of services and education, maximizes functional capacity of patient for self care, assisted living, or transitional placement as appropriate.
  • Documents in appropriate area of medical record and assures appropriate accessibility of documentation to other health care providers.
  • Notifies physician of care continuum issues related to insurable coverage and collaborates in resolving issues in the best interests of the patient.
  • Resolves quality or risk management issues or appropriately refers them for corrective action.
  • Acts as the patient's advocate throughout the care continuum.
  • Stays current with research and trends in evidence-based practice related to specialty area and assignments.
  • Participates in department clinical outcome projects.
  • Facilitates standardization of patient education with clinical and medical staff.
  • Participates in shared governance structures appropriate to responsibilities and interests, to improve nursing practice and patient care. Participates in department staff meetings. Serves on hospital and/or nursing committees as appointed or requested. Participates in task force activities.
  • Practices quality management according to Joint Commission and OSHA standards and regulatory guidelines. Applies regulatory requirements to practice (e.g. HIPAA, CMS, Joint Commission, URAC, etc.).
  • Leads activities to promote and strengthen team cohesiveness and effective performance.
  • Exhibits strong relationship-building skills with medical staff, clinical staff, and management.
  • Reflects cost awareness, concern for cost containment, and conservation of resources in activities.
  • Demonstrates and models openness to change and willingness to try new approaches and systems.
  • Keeps Manger and Medical Director apprised of developments, progress, and barriers.
  • Conducts self in a professional manner, using accountable communication to resolve problems in an open, timely manner. Demonstrates professional relations at all times with patients, families, physicians, co-workers, and the public.
  • Performs additional duties as assigned.


    • ---\tAt least three years of acute care experience is preferred.

Keywords: Wyoming Medical Center, Casper , Case Management Social Worker, Executive , Casper, Wyoming

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