Case Manager

Role At Barnes-Jewish Hospital

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows, and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The CM Services reports through the division of Patient Care Services, led by the Chief Nursing Executive Vice President of Patient Care Services. The CM Service is comprised of three departments: Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, the objectives of CM Services are for all patients to have access to healthcare through the BJH continuum and appropriate, safe discharge plans.

The Social Work department is open 24 hours/day. The Case Management department is open 20 hours/day. Both departments provide coverage throughout the hospital, including the Emergency Department, Outpatient Clinics, Registration sites, and Health Information Management.

The Service employs registered nurses, social workers, a licensed practical nurse, a customer service representative, and administrative assistants.

Role Purpose

Coordinates, negotiates, procures, and manages the care of patients to facilitate achievement of quality, cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff, internal and external to the organization, to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.

Responsibilities

• Assesses, coordinates, and evaluates each patient's plan of care
• Establishes, continuously evaluates, and documents an individualized discharge plan
• Ensures clinical documentation and cost-effective use of hospital resources

Minimum Requirements

• Education: Nursing Diploma/Associate's Nursing
• Experience: 2 years
• Supervisor Experience: No Experience
• Licenses & Certifications: RN

Preferred Requirements

• Education: Bachelor's Degree Nursing
• Experience: 25 years

Benefits and Legal Statement

BJC Total Rewards At BJC, we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social, and financial well-being.

• Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Pension Plan*/403(b) Plan funded by BJC
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays, and personal time
• Adoption assistance

To learn more, go to www.bjctotalrewards.com/Benefits *Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties, and qualifications required of employees assigned to this job.

Equal Opportunity Employer