The Case Manager is responsible to the Director of Case Management for the coordination of care of a selected group of patients to achieve optimal outcomes with effective resource utilization from admission through discharge. The Case Manager exhibits a leadership role of influence, collaborates with interdisciplinary team members both internally and externally, and ensures continuous, efficient, quality care.
Collaborative practice/relationships are established with internal and external disciplines
Collaboration with other disciplines are utilized in the management of patient care (assessment, plan of care, goals, and progress)
Consultation with interdisciplinary team members on ongoing basis
Facilitates the continuum of care outside the acute care
The plan of care is developed, implemented, and modified in cooperation with the staff nurse in caring for a selected patient population
In collaboration with Social Service and the multidisciplinary team, discharge planning measures are instituted upon admission and includes active participation of patient and family
Care is evaluated on an on-going bases for effectiveness and appropriate utilization of resources
Monitor daily admissions for appropriate status utilizing Interqual Criteria
Utilize Interqual criteria to ensure correct statusing of accounts and appropriate continued stay
Refer cases to Executive Health Resources (EHR) for secondary review if Interqual criteria are not met
Complete timely follow up on cases referred for secondary review
Ensures that all cases including weekend admits/discharges for have been reviewed for medical necessity
Effective and appropriate communication with patients, family, medical staff, third party payers, & other as indicated
Relevant data, including submission of clinical information to third party payers is communicated in a timely manner utilizing appropriate judgment.
Role of the care manager is explained to patient, family, direct patient care staff, and others as indicated
Incorporates, evaluates, promotes, and participates in research into the practice setting
Consistently combines an awareness of patient rights and ethical judgment for following through with appropriate action to function as a patient advocate
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and per...formance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, therefore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.