Clinical Resource Manager

Caring For the Community You Love Choose a career to make a difference in people's lives every day, choose Fisher-Titus!Perks of working at Fisher-Titus:Hours of Work- Full timeComprehensive Benefits Package- Medical & Dental coverage, 401K match, paid time off, tuition assistance and more!Shift, Weekend & PRN differentialAbout Fisher-Titus:Fisher-Titus proudly serves the greater Huron County area's 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. Vision: Be the first choice for healthcare and employment within our community Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community General Summary:A Clinical Resource Manager is a member of the multidisciplinary team and works closely with providers, social workers, financial counselors, decision support specialists, and ancillary staff to actively facilitate those functions associated with moving the patient through an acute episode of care and linkages to community resources, internal resources, and the payer community.Education, Licensure, Registration and Experience:Professional degree in a healthcare discipline with current licensure to practice in OhioThe Clinical Resource Manager must possess strong interpersonal skills, leadership, negotiation skills, good leadership talent, and knowledge of hospital operations.General knowledge of the payer industry, resource management, reimbursement, and evidence based clinical practice is essential.Essential Functions:Identify trends/problems related to delivery of care delays and potentially avoidable days through consistent data capture.Issue Medicare adverse determination letters when deemed appropriate.Coordinate a patient's plan of care from admission to discharge, ensuring that needs are met in a safe, timely, and cost-effective manner.Intervene with ancillary department leadership when timely service is critical to patient's immediate needs.Identity patients in need to intensive post-acute services.Make referrals to social work when patient or family needs psychosocial intervention to facilitate transition planning.Collaborate with team members to develop a transition plan appropriate to the patient's needs and ability to pay.Patient's eligibility for post-acute services is determined within 24 hours of inpatient admission.Serve as consultant and educator to patient and family regarding post acute service recommendations.Serve as liaison to community resources.Make daily rounds with assigned physician based on priorities of patient needs.Confirm doctor's treatment plan and intended goals.Collaborate with attending physician to establish treatment milestones to prepare patient and family for transition to lower level of care. Initiate referrals to the appropriate areas to expedite care, treatment and services. (The Medical Staff by-laws grants authorization to professional Clinical Resource Managers to make independent referrals to PT/OT/ST, nutrition counselors, respiratory therapy, clinical nurse specialist, financial counselor, risk manager, rehab, SNF, hospice/palliative care, and home care for the sole purpose of assessment of needs. Any subsequent clinical interventions must be indorsed by the attending physician).Utilized medical staff approved evidence based clinical protocols when patient's diagnosis warrants.Question interventions that seem contrary to protocol and offer acceptable alternatives.Collaborate with physician, patient and family, and nurse to identify probable post-acute needs.During point-of-service rounds with the physician, offer suggestions for more accurate and complete documentation.Working Conditions:Stand/Walk 6-8 hrsSit 1-2 hrsBend up to 1/3 of timeSquat up to 1/3 of timeClimb up to 1/3 of timeReach up to 1/3 of timeLift up to 1/3 of timeCarry up to 1/3 of timePush up to 1/3 of timePull up to 1/3 of timeRight Hand Precise Motor Function (Or Fine Manipulation)Left Hand Precise Motor Function (Or Fine Manipulation)Right Foot Gross Motor FunctionLeft Foot Gross Motor FunctionUp to 25 pounds 1/3 or more of the timeBody Fluid Exposure YesStandards of Employment:Attends all mandatory education programs and can describe his or her responsibilities related to general safety and regulatory compliance.Appearance is professional, neat, clean, and appropriate for the work environment. Wears proper photo identification badge while on duty.Maintains confidentiality of all hospital and patient information at all times, as observed by peers and management.Attends monthly staff meetings and participates in monthly rounding process with manager to assure effective and timely two-way communications.Participates in and completes required department specific education and training programs and can describe his or her responsibilities related to department safety and specific job-related hazards.Follows safety and security policies including exposure control plans/blood borne and airborne pathogens.Core Requirements:Supports the mission, vision and CARES values of Fisher Titus.Is knowledgeable of patient rights and ensures an atmosphere which allows for the privacy, dignity and well-being of all patients in a safe, secure environment.Supports, cooperates with, and implements specific procedures and programs for:Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.Confidentiality of all data, including patient, employee and operations data.Quality Assurance and compliance with all regulatory requirements.Compliance with current law and policy to provide a work environment free from sexual harassment and all illegal and discriminatory behavior.Key Service Behavior:Communicates with Compassion - Every patient, Every timeEngages in active listening skillsUtilizes the AIDET communication toolUses key words at key timesUtilizes HEART service recovery techniquesDemonstrates Service Etiquette - Every patient, Every timeSmiles and greets patients using the 10/5 ruleDemonstrates a calm, positive attitude through tone and body languageEnsures patient privacy and promotes a healing environmentAdjusts approach to respect the diversity of patientsAssesses and manages patient's expectations of careCommitment to Safety - Every patient, Every timeFollows established safety guidelines to reduce risk of adverse event through early recognitionCommits to the Culture of Safety; If you see something, say somethingDelivering High Quality Care - Every patient, Every timeCommits to efficient, effective and purposeful work and delivery of careEngages in practices that will continually improve processesEqual Opportunity EmployerThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.