Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you!
Responsible for the coordination and implementation of case management activities, which encompasses all care needs of patient during the time frame the patient requires care within the hospital setting. Remains point of contact for patient/family/legal representative until patient transitions to another service line OP case manager or patient navigator. Reviews care and treatment for appropriateness against screening and reimbursement criteria for appropriate referral management. Conducts continual monitoring and assessment of patients care plan goals and needs and modifies referrals and resource requests as necessary. Sends any ordered or necessary referrals to the appropriate service line Patient Navigators, OP Case Manager, or community resource contact for review of appropriateness of services or resources requested. Attends daily care rounds if applicable, communicates any changes in the patient's clinical condition that may impact their transitional care plan to the multi-disciplinary care team and remains point of contact for the patient/family/legal representative during hospitalization. Communicates and collaborates with multidisciplinary care team members, Patient Navigators, OP Case Manager, patients/families/legal representatives. Licensed social worker, ideally with a medical or mental health background or significant experience in complex care and care management.
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System's organization policies and procedures.
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