Case Manager

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Category Case Management Description JOB TITLE: Case Manager REPORTS TO: Administrator FLSA STATUS: Non-Exempt JOB OVERVIEW: In collaboration with the physician provides individual program management for each patient to ensure the patient's progression through the continuum of care in a manner that achieves the desired clinical and financial outcomes. Monitors and manages clinical and financial coordination of treatment plan of assigned patients to ensure timely, cost-effective, individualized service delivery. Works with rehabilitation patients with various disabilities including, but not limited to: spinal cord injury, brain injury, cerebrovascular accident, amputation, neurologic disorders, orthopedic conditions, and arthritis. Coordinates length of stay management within Medicare (CMS) guidelines and 60% compliance threshold.

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO

a. Meets with patient upon admission to discuss rehabilitation process and role of case manager. b. Conducts and documents initial patient assessment within 72 hours, to include psychosocial, family and disposition status; determines tentative initial discharge plans in conjunction with patient and family goals. c. Appropriately modifies approach to the patient based upon patient's age and developmental level. d. Involves the patient/family in the development of the plan of care by obtaining their goals for rehabilitation. e. Reviews goals with patient's family (with patient's permission) and third party payer. f. Maintains accurate up-to-date documentation in the medical records of patient and family contacts, communications with payers and other services performed on behalf of patient and family. g. Coordinates, evaluates, documents and reviews interdisciplinary team goals as they pertain to the plan of care and discharge plan. h. Coordinates team conferences. i. Documents in the medical record a summary of the team conference. j. Serves as the primary family contact (with patient permission) for the treatment team, communicating within 48 hours of the team conference. Also updates the external case manager and/or payer source regarding progress, plan and patient's future needs (as requested by payer source). k. Ensures the scheduling of family conferences, family participation in therapy and provides pertinent information to appropriate team members. l. Documents in the medical record a summary of the family conference. m. Coordinates completion of discharge plans by assisting with arrangements for family education, equipment and services as appropriate for patient discharge level of care. n. Calls patient or family as needed post-discharge to ensure planned discharge recommendations are occurring and to assess if additional services are needed. o. In collaboration with the Controller, monitors and ensures needs of per diem negotiations, recertification, concurrent reviews and timely reports. p. Participates in monitoring, analyzing and utilizing program evaluation data to promote quality of care and position hospital for success. q. Works closely with finance in order to facilitate Utilization Management program. r. Maintains good working relationships with other hospital departments, participates in hospital meetings and serves on hospital committee as requested. Knowledge, Skills and Abilities ï‚· Language Skills: Able to communicate effectively in English, both verbally and in writing. ï‚· Skills: Basic computer knowledge Education and Experience ï‚· Current Louisiana Licensure as RN. Fifth year college or university program certificate; or two to four years related experience and/or training; or equivalent combination of education and experience. Knowledge of basic bookkeeping, office procedures, and electronic billing procedures. BCLS - required. OSHA I-Position is considered to have opportunity for routine exposure to blood borne pathogens in the normal performance of job duties. II- Position is considered to have occasional opportunity for exposure to blood borne pathogens in the normal performance of job duties. III-Position is considered to have no occupational exposure to blood borne pathogens in the normal performance of job duties Position Requirements Education and Experience: Must have a high school diploma or equivalent. Louisiana RN licensure. 2 years experience in Case Management preferred. Full-Time/Part-Time Full-Time Shift Days Exempt/Non-Exempt Non-Exempt Location HW Healthwest About the Organization What We Do Interdisciplinary Team Care - This is the official medical terminology for the treatment we provide. That means several people work together to restore lost abilities. Each person on the team is a 'discipline.' Physiatrist - The Medical Doctor who provides daily medical supervision of each patient and the treatment team. Physical Therapy - Physical Therapists are specialized in the improvement of mobility and balance, including the ability to transfer between bed and chair, and bath and toilet. Occupational Therapy - Occupational Therapists are focused on the 'Activities of Daily Living' most of us take for granted until we can no longer perform them. Such activities include: getting dressed, eating, bathing and grooming. Speech Therapy - Speech Therapists treat communication problems, swallowing dysfunction, problem solving, and cognitive skill re-building. Medical Social Worker - Social Workers help solve the social needs of the patient and family during a course of treatment and after discharge. Rehabilitation Nursing - Rehabilitation Nurses provide 24/7 care including medication management, pain management, and daily assessment of physical condition. #J-18808-Ljbffr United Medical Healthwest Rehabilitation Hospital