Job Summary The per diem Case Manager will have a strong knowledge of the case management process and standards of practice for Case management. responsible to assist in the assessment, development, planning, and coordination of care. Assumes a leadership role within the interdisciplinary team to coordinate services through the continuum of care to achieve optimal clinical and resource outcomes. Essential Functions • Flexible, able to assume caseloads with minimal assistance. • Able to relate and work with chronically ill and disabled patients of all ages, and with emotionally upset, and at times hostile people within the faculty. • Accesses legal assistance for guardianships or power of attorney as well as protective services for elderly and children. • Acts as a resource for staff, families, patients and physicians. • Completes initial D/C planning assessment. • Able to relate and work with various managed care representatives, defining the continuing need for medical treatment. • Appropriately documents the discharge plan, confirming commitment of the referral source, including all communication and referral data. • Attends the daily Discharge Meeting and the IDT rounds and documents information in EMR. • Refers cases to Director of Case Management and /or physician advisor as needed. • Assumes Director's role of case management in their absence. • Coordinates with all members of the treatment team, patient, and family to assure coordination of care, decision review, fiscal communications, and discharge planning by collecting and assessing data. • Communicates with appropriate agencies for authorizations and referrals. • Differentiates culturally specific care into discharge plan and identifies communication and learning barriers for all populations which may interfere with continuum of care. • Refers patients with after-discharge needs to appropriate Case Manager and keeps her/him apprised of anticipated patient discharge dates and needs. • Provides assistance with indigent and self-pay population to appropriate disciplines. • Monitors length of stay and decreases where appropriate. Actively works to decrease cost per case. • Monitors physician progress notes to ensure that adequate and timely documentation exists to support medical necessity and appropriateness of continued hospital stay. • Reports variances according to established care quality improvement process. • All other duties as assigned. #STC Qualifications Education Requirements 4-year bachelor's degree - OR - combination of relevant education & experience may be considered in lieu of bachelor's degree Completes and maintains all competencies and trainings as required for role. EXPERIENCE • 2 years case management experience • 1 year inpatient case management experience Certification and Licensure PA Registered Nurse License Overview About the Organization With more than 11,000 team members, Tower Health includes Reading Hospital, a teaching hospital based in West Reading; Brandywine Hospital in Coatesville; Chestnut Hill Hospital, a teaching hospital in Philadelphia; Jennersville Hospital in West Grove; Phoenixville Hospital in Phoenixville; Pottstown Hospital in Pottstown; and St. Christopher's Hospital for Children. We also operate Reading Hospital Rehabilitation at Wyomissing & Reading Hospital School of Health Sciences, & we have a comprehensive physician network. Collaboration across Tower Health enables our hospitals, providers, leadership & staff to leverage best practices across the health system. Our hospitals have received national recognition for advanced care in areas such as neurosurgery and stroke, cardiac & vascular surgery, trauma, hematology & oncology. Reading HealthPlex, which opened at Reading Hospital in October 2016, combines state-of-the-art technology and world-class design to make the HealthPlex one of the most sophisticated surgical centers & inpatient facilities in the region. At Tower Health, we have a rich history of providing high-quality, cost-effective care in the communities we serve. As the healthcare industry continues to change, one thing remains steadfast: Tower Health’s commitment to Advancing Health, Transforming Lives. Why St. Christopher's Hospital for Children St. Christopher’s Hospital for Children, a partnership between Tower Health and Drexel University, is a 188-bed facility that provides exceptional care to children throughout the Greater Philadelphia area and surrounding counties. St. Christopher's has more than 220 pediatric experts on staff, combining top-notch pediatric care with a wide array of pediatric specialties including Cardiology, Ear, Nose and Throat, Gastroenterology, Oncology, and Orthopedics. It houses the only Verified Pediatric Burn Center between New York City and Baltimore and is one of only three Level I Pediatric Trauma Centers in Pennsylvania. St. Christopher’s is a Magnet® designated hospital and was recognized as a Women’s Choice Award Best Children’s Hospital. In addition to its main location in Philadelphia, the hospital has a growing network of primary and specialty care locations throughout the Philadelphia suburbs and New Jersey so your child's health conditions can be treated close to home. Discover why our hospital is a great place to work—take a virtual tour of our facility here: St. Chris Virtual Tour