At a glance
St Lukes is proud of the skills, experience and compassion of its employees The employees of St Lukes are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patients ability to pay for health care
The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment and interventions for designated patient populations across the continuum of care
Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams to facilitate the achievement of desired patient, quality, and financial outcomes
JOB DUTIES AND RESPONSIBILITIES: Assesses the patient’s needs, goals, and barriers in relation to the patient’s clinical condition, psychosocial environment, and socioeconomic resources
Collaborates with the multidisciplinary team to plan, implement and evaluate the patient’s plan of care through rounding or other methods Collaborates with the patient, family or other caregivers, and multidisciplinary team to design a discharge plan respective of the patient’s needs and goals
Re-evaluates and revises discharge plan of care as additional information is obtained or goals change Proactively considers options such as palliative care, home care and other services that work to keep the patient as healthy as possible in the outpatient setting, minimizing the risk of re-admissions
Works as a team with other members of care management, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director
Facilitates communication among all treatment team members Manages length of stay by proactively identifying and mitigating issues and barriers to care and a successful discharge plan
Monitors risk assessment using available tools and implements discharge interventions accordingly, minimizing risk of readmission Identifies patients with an unplanned readmission and completes root cause analysis
Collaborates with Outpatient Care Managers to identify patients for handover and post discharge follow up PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, walk on all surfaces for up to five hours a day, and climb stairs
Must be capable of driving a car and have the ability to finger and handle objects frequently Occasionally firmly grasp, twist, and turn objects with hands and fingers
May be required to lift, carry, push, and/or pull objects weighing up to 75 pounds Occasionally stoops, bends, squats, kneels and reaches above shoulder level Staff must have the ability to hear as it relates to normal conversations and high and low frequencies and to touch as related to telephone and computer keyboard.
-Allentown Campus
-Anderson Campus
-Bethlehem Campus
-Geisinger St. Luke’s Campus, Orwigsburg
-Monroe Campus, Stroudsburg
-Sacred Heart Campus, Allentown
-Upper Bucks Campus, Quakertown SHIFT DETAILS: Full time, 36 or 40 hours per week Part time, less than 36 hours per week Per Diem (if available), minimum of 2 shifts/month All positions (including per diem) must have the ability to complete 7 consecutive business days of initial orientation as well as required unit orientation
Holiday and weekend requirements per unit and company policies Positions may be available on days and weekend program options Please complete your application using your full legal name and current home address
Be sure to include employment history for the past seven (7) years, including your present employer Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable
It is highly recommended that you create a profile at the conclusion of submitting your first application Thank you for your interest in St Lukes!! St Lukes University Health Network is an Equal Opportunity Employer.
St. Luke's University Health Network on Oh My Job
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