GENERAL SUMMARY: Under the direction of the department director, the Case Manager is responsible for coordinating the case management care plan to meet the individual/care giver needs, promoting quality, cost effective outcomes. Educates and empowers individual/care giver toward self-care and independence. The Case Manager collaboratively works to carry out of the process of assessment, planning, facilitation, care coordination, evaluation and advocacy options and services to meet the individual's and family's comprehensive health needs. Assesses the patient's plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care. Facilitates options and services to meet the patient's health care needs. Work involves identifying and resolving barriers that may hinder effective patient care and patient progression to a safe discharge in a timely manner. Performs other duties as assigned.
Experience, Education and Training Minimum: Professional knowledge of area of responsibility in order to direct planning and implementation of individualized service plan for eligible children with special health care needs to include medical care, social, developmental, educational, vocational and financial aspects. RN (BSN preferred) holding a current Virginia state license or valid Compact State license, with three years acute pediatric experience or a Medical Social Worker with an MSW degree required. Will consider an RN with a master's degree with two plus years of experience in lieu of three years acute pediatric experience. One to three years case management/ care coordination experience preferred. Case management certification a plus. Must be able to plan, manage and establish a professional working environment within areas of responsibility. Must possess the ability to identify problems and implement solutions for operational and organizational issues. Interpersonal skills necessary in order to communicate effectively with other professionals. Competence in use of personal computers, word processing, spreadsheets and database software. Knowledge of utilization review processes necessary.
