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Case Manager PRN: Bayshore Medical Center

Evaluates assigned population of patients for risks and potential needs. All patients will be assessed
within 24 hours of admission, or the next busiiness day.
Establishes and coordinates plans for those patients with identified needs.
Monitors, evaluates and documents care outcomes using InterQual guidelines.
Assists with departmental data collection as assigned, and reports all statistical information in a timely
manner.
Refers appropriate cases to management and social worker as needed.
Appropriately utilizes all resources and available sources of information.
Maintains current knowledge of regulatory rules and guidelines, as well as guidelines for contracted
insurances. Remains knowledgeable regarding all applicable standards, guidelines, limitations, and
restrictions.
Communicates with outside review agencies as necessary, and maintains appropriate professional contacts
and liaisons.
Participates in committees or departmental activities as might be assigned.
Ethics and Compliance Expectations - All employees will be held accountable for behaviors displayed
relative to the values articulated in the Mission and Values Statement. "Will act with absolute honest,
integrity and fairness in the way we conduct our business and the way we live our lives." All employees
will be held accountable for attending training regarding the Code of Conduct program at least annually.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the follwoing. Other duties may be assigned.
Provides support and consultant services to Case Managers as indicated or requested.
Develops and maintains constructive, collaborative communications with patient families, significant
others, physicians, Case Managers, other hospital personnel and community agencies to facilitate the
progress of the patient continuum of care.
Requires no degree.
Education: High School Diploma.
Experience: A minimum of one year of experience in medical field.