Case Manager

CASE MANAGER

Neulife Rehabilitation of Florida (NLRF) is seeking a skilled, compassionate, and highly organized Case Manager to join our team at our Mt. Dora location. Neulife Rehabilitation specializes in providing post-acute rehabilitation and residential services to individuals with Traumatic Brain Injuries (TBI), Acquired Brain Injuries (ABI), Spinal Cord Injuries, and other neurological disorders. The Case Manager plays an essential role in coordinating resident care, managing insurance authorizations, facilitating discharge planning, and ensuring residents receive the services and resources necessary to support their rehabilitation goals. We are looking for a proactive professional with strong communication, organizational, and problem-solving skills who can effectively coordinate care while advocating for residents and their families. Essential Duties & Responsibilities Case Management & Care Coordination Conduct assessments and evaluations to identify residents' needs, goals, and appropriate services. Develop, implement, and monitor individualized treatment and case management plans. Coordinate and oversee the delivery of healthcare, rehabilitation, and supportive services. Collaborate with physicians, nursing staff, therapists, insurance representatives, families, and external service providers. Advocate for residents' needs, rights, and access to appropriate services. Monitor resident progress and coordinate interventions to address barriers to care. Participate in interdisciplinary team meetings and care planning conferences. Insurance Authorizations & Utilization Management Coordinate initial, continued-stay, and ongoing insurance authorizations for rehabilitation services. Submit clinical documentation and supporting information to insurance companies to obtain and maintain authorization for services. Monitor authorization dates, benefit limitations, and insurance coverage to prevent interruptions in care. Communicate with insurance case managers, utilization review departments, and managed care organizations. Assist with appeals and additional clinical documentation requests when necessary. Monitor approved lengths of stay and communicate authorization concerns to the interdisciplinary team. Discharge Planning Initiate and coordinate discharge planning based on residents' individual needs and rehabilitation progress. Work with residents, families, caregivers, and community providers to develop safe and appropriate discharge plans. Identify and coordinate post-discharge services, equipment, resources, and community support. Facilitate transitions to home, assisted living, skilled nursing, or other appropriate care settings. Ensure necessary documentation, referrals, and follow-up arrangements are completed prior to discharge. Address barriers to discharge and collaborate with the interdisciplinary team to develop solutions. Documentation & Compliance Maintain accurate, timely, and comprehensive case management documentation. Ensure compliance with facility policies, insurance requirements, and applicable regulatory standards. Track authorizations, discharge plans, resident progress, and other case management activities. Maintain effective communication with residents, families, healthcare professionals, and external agencies. Qualifications & Requirements Previous experience in case management, healthcare, rehabilitation, or a related setting. Experience with insurance authorizations, utilization management, and discharge planning strongly preferred. Knowledge of healthcare insurance processes, managed care, and medical necessity requirements. Familiarity with community resources and post-acute care services. Excellent written and verbal communication skills. Strong organizational skills and attention to detail. Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment. Ability to work independently while collaborating effectively with an interdisciplinary team. Compassionate, resident-focused approach with strong advocacy skills. Compensation & Benefits Competitive Pay: $24.00-$31.00 per hour , based on experience and qualifications. Full Medical Benefits. 401(k) Retirement Plan. Paid Vacation and Sick Leave. Supportive and collaborative work environment. Opportunities for professional growth and development. About Neulife Rehabilitation of Florida Neulife Rehabilitation of Florida is a specialized rehabilitation provider dedicated to helping individuals with neurological injuries and disorders regain independence and improve their quality of life. Our interdisciplinary team is committed to delivering compassionate, individualized care and supporting residents throughout every stage of their rehabilitation journey. #J-18808-Ljbffr NeuLife