Case Manager (CM) Rehabilitation

Description

Title: Case Manager (CM)

Job Type: Full time

Your experience matters

At Kindred Hospital - Houston Medical Center we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person.

The Acute Rehabilitation Unit (ARU) at Kindred Hospital Houston Medical Center is a specialized inpatient rehab program located on the hospitals fourth floor. Its designed for patients recovering from serious conditions like stroke brain or spinal cord injury orthopedic trauma neurological disorders amputation or other complex illnesses.

• Intensive Therapy : Patients receive at least 15 hours of therapy per week typically spread across five days under the direction of a physiatrist a doctor who specializes in rehabilitation medicine.

• Newly Renovated Facilities : The ARU features 11 private rooms a modern rehab gym with advanced equipment and dedicated spaces for dining and activities. Each room includes amenities like Wi-Fi cable TV private bathrooms and guest recliners.

• Seamless Transition : Because its located within the hospital patients can move directly from long-term acute care to rehabilitation without transferring to a different facility.

• 24/7 Nursing Support : Around-the-clock care ensures patients are supported throughout their recovery journey.

• Evidence-Based Approach : The ARU follows guidelines from the Centers for Medicare and Medicaid Services and is recommended by the American Heart Association/American Stroke Association for stroke recovery.

As a Case Manager (CM) joining our team youre embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.

How youll contribute

The Case Manager (CM) is responsible for providing care coordination including needs assessment and identification of care options communication with patients and families in an interdisciplinary environment consistent with the positions qualifications professional practices and ethical standards.

JOB SUMMARY:
Coordinates management of care and ensures optimum utilization of resources service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment care planning plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integration of functions of case management utilization review and management and discharge planning.

Provides ongoing support and expertise through comprehensive assessment care coordination plan implementation and overall evaluation of individual patient needs while ensuring patient preferences.

Serves as a patient advocate through resource utilization discharge planning and addressing the holistic needs of the patient.

Promotes the hospitals mission vision and values.

ESSENTIAL FUNCTIONS:
Job Specific:

Completes departmental orientation initial and annual competencies.

Assists with departmental specific performance improvement initiatives collecting and reporting data as requested by supervisor.

As appropriate consults other departmental staff to collaborate in patient care delivery identify barriers to care and or discharge and develop solutions/resolution.

Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines.

Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement course of rehabilitation stay and plans for discharge.

Coordinates weekly patient care team conferences to facilitate development monitoring and refinement of treatment plan to achieve identified patient goals and outcomes.

Reviews the patients assigned CMG and helps the team identify any potential missed comorbid conditions that are actively being treated during the patients stay. Communicates any findings to the HIM team.

Communicates effectively with nursing therapy and other ancillary departments to ensure proper utilization.

If no Lead Case Manager the CM participates as the facility representative for national CM Conference calls and communicates new information to the facility CMs.

Assists with concurrent and retrospective utilization review activities including denials and appeals. Works with physicians to conduct peer review with payer medical director when indicated.

Ensures clinical updates are provided to all insurance payers when due and all payer communications are documented in Meditech.

Coordinates discharge planning needs including but not limited to; home health services physician follow up care durable medical equipment medical supplies healthcare services outpatient therapy dialysis skilled nursing care assisted living care hospice care private duty care etc. Responsible for coordinating all patient care needs prior to discharge ensuring a safe thorough discharge plan. Ensures patient choice is offered and documented as per CMS Conditions of Participation for Discharge Planning.

Identifies trends that impact the quality cost effectiveness patient experience and delivery of care services and brings to departmental leadership meetings for discussion and action.

Performs intake assessment on patient within 24 to 72 hours of admission preferably within 48 hours.

Performs follow-up assessments per Case Management Plan and/or hospital policy.

Demonstrates an ability to be flexible organized and function under stressful situations.

Other duties as assigned.

Qualifications and requirements:

Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist Physical Therapist Speech Language Pathologist or Occupational Therapist.

Certification in Case Management or Rehabilitation Nursing preferred; for example Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC

Minimum of 2 years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred.

Effective oral and written communication skills in English additional languages preferred.

Basic computer skills in excel word outlook power point etc. required.

Must have good organizational skills time management skills and analytical ability in order to interpret information and carry out duties independently

Must be cooperative and have the desire to be a team player.

Must recognize and observe confidentiality principles.

About us
Lifepoint Rehabilitation is part of Lifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.

EEOC Statement

Lifepoint Rehabilitation is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Required Experience:

Manager