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Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

The Complex Care Manager (CCM) serves as a Regional liaison to the care management department and when necessary, assumes the primary Care Manager's role (See Care Manager's Job Description). Indicators for CCM's involvement include: 1) long length of stays exceeding 20 days or more, 2) guardianship and other legal issues 3) patients with complex psycho/social 4) co-morbid conditions that preclude standard post acute placement , 5) medical conditions that are chronic in nature or complex, and 6) those cares requiring assistance from local and state government agencies as well as payers (special needs units) in an effort to secure resources. CCM will lead the ongoing interdisciplinary oversight regarding the discharge plan of care.

Job Duties

• Collaborates with admitting physician, ED physicians, hospitalists, nursing and other clinical ancillary staff to assist with the initial patient assessment and high-risk screen for the purpose of resource management.
• Promotes adherence to clinical protocols through collaboration with the physician and interdisciplinary team to encourage evidence-based interventions relevant to the patient’s reason for admission and immediate acute care needs.
• Coordinates family and/or interdisciplinary meetings with all specialties to promote movement through the continuum.
• Is consulted on for patient/families with complex psychosocial or continuing care needs that may present obstacles for a safe transition to a lower level of care or discharge to the community and makes a referral to the ToC/CCT
• • Works collaboratively with the IPT Care Management team to monitor the progress of completing complex discharge plans and collaborates to resolve challenges.
• • Facilitates patient movement to alternate levels of care within the hospital through coordination an ongoing oversight with patient/family, physician, and interdisciplinary team.
• • Demonstrates pro-active communication to influence treatment plan and progression of care while advocating on behalf of the patient and organizational stakeholders.
• Attends assigned Care Progression Rounds, Complex Care Rounds or specific patient meetings and promotes CCM role as an adjunct to the team’s clinical expertise.

• Master’s Degree Social Work or
• Bachelor’s Degree Nursing
• 3 years Inpatient Care Management experience in an acute care setting
• • Ability to work independently, setting priorities to coordinate care plans efficiently under constraints of value-based care.
• • Knowledge of Community Agencies required to provide patients and families with appropriate choices and options for post hospital care or prevention of admission.
• • Interpersonal skills necessary to negotiate with families, patients, physicians and third-party payers for optimum plan.
• RN - Licensed Registered Nurse_PA - State of Pennsylvania

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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