Clinical Case Manager at The Career Network

JOB PURPOSE

• The main purpose of the job is to ensure effective; efficient and timeous monitoring of referrals, admissions, discharges, compliance and patient movements working closely within a multidisciplinary team reporting into the Clinical managers, viz., Therapy Manager and the Matron, Nursing Manager. 

JOB REQUIREMENTS

Key Performance Areas

• Clinical Function: Referral process 
• Participate in all new on and offsite admission screening meetings. 
• Develop contacts and build a network of professional relations with referring partners in order to optimize the continuum of care across all levels of care whilst enhancing the patient care experience 
• Promote and maintain good interdisciplinary relationships with the referring sources.
• Ongoing verbal and written information sharing and liaison with referring facilities to facilitate an efficient and smooth -running referring and admission system.
• Proactively report bed availability and communicate this with all referring facilities once a week.
• Screen all new referrals applications to ensure that patients meet our admission criteria.
• Ensure that all documentation is in place for a referral to be processed at admissions meeting.
• Monitor the capturing of prospective patient information, distribution of minutes and all relevant patient information to the MDT prior to the admissions meeting.
• Ensure that an effective communication system for referrals is in place and put recommendations for review and change forward when required.
• Admission and discharge process
• Optimize the continuum of care by managing the patient effectively throughout the admissions period and from admission back into the community
• Enhancing the patient flow management by improving the admissions process, and assist with comprehensive discharge planning
• Ensure comprehensive patient flow and bed management system in collaboration with the clinical team
• Ensure that the bed capacity is utilized efficiently and effectively, whilst maintaining patient safety 
• Proactively report bed availability and communicate this with all referring facilities
• Manage patient’s admissions and emergency transfers and provide comprehensive reports to the clinical managers
• Maintain excellent written and verbal communication with all disciplines in the various referral system
• Provide clinical support in decision making within the clinical team
• Regular reporting on bed availability and identify trends in medical conditions 
• Work closely with the clinical team to expedite admissions
• Patient discussions forums monitoring coordinate e.g., case discussion
•  Administrative Function
• Monthly Reports with statistical information regarding patient documentation, recordkeeping updated patient data, trends, predictions and recommendations
• Weekly written and verbal information to referring facilities regarding bed capacity and availability.
• Development Monitoring and implementation of SOP’s.
• Services Quality and compliance
• Understand the importance of quality in relation to every day work
• Participate in quality measures to ensure that the service is provided at high quality
• Uphold the vision, mission and values of the Home.
• Patient, parent satisfaction
• Ethical compliance and professional practice
• Monitor, evaluate and coordinate care provision to ensure that it is safe, timely, effective, efficient, equitable, and patient -centered.
• Participation in patient quality of improvement discussion forums (e.g., monthly combined meetings; Monday morning ward rounds and weekly case discussions) to evaluate if predicted care plan outcomes are met within expected timeframes
• Facilitate communication to make sure all stakeholders are kept up to date with patient progress and adjustments to care and discharge plans. 
• Advocate for the patients by checking that patients (where applicable) are informed about their clinical status and condition management so that they can make informed decisions. 
• Regularly check that clinical record keeping is in accordance with the relevant Healthcare acts and regulations.
• Monitor records and administrative tasks to evaluate if it is up to date and meet clinical standards in line with professional body guidelines and requirements.
• Strategic Role and function
• Form part of the patient safety committee
• In conjunction with the deputy matron and registered nurses implement effective strategies for control, and evaluate and report on the standards of service delivery and make recommendations.
• Take responsibility for the effectiveness of service delivery.
• Behavioral Competencies
• Demonstrate effective communication with patients, parents, supervisors and other team members. 
• Work as part of the multidisciplinary team to ensure good overall clinical care 
• Be able to work with and have an understanding of diversity in order to work and communicate with persons of diverse backgrounds.
• Able to plan and organize own work and mentor personnel to ensure proper clinical care. 
• Display and create awareness of values mission and vision of the organization in conduct and engagements. 
• Ability to form sound interpersonal relations internally and externally.
• Confidentiality adherence; POPIA

Required qualifications 

• Degree or Diploma in Nursing/ Allied Health
• Current registration with SANC / HPCSA
• Understanding of scope of practice of discipline categories according to job description.
• Understanding of legislation and ethical requirements and how these impacts on service delivery.
• Be clinically sound /knowledgeable to be able to judge and facilitate appropriate admissions
• Be knowledgeable about the child health sector within the department of health (ensure early discharges, and safety net) 
• Have excellent written and verbal communication skills