Case Manager II- FT Days

Job Summary

Careers at Kindred Hospitals aim to help patients reach their highest potential for health and healing through intensive medical and rehabilitative care. As a Case Manager II, you will coordinate and facilitate the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members.

Essential Functions

• Care Coordination
• Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
• Makes sure all areas of patients' stays are managed effectively for care coordination and efficient care facilitation.
• Remains updated from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues affecting patients and providers of care.
• Refers high-risk patients who could benefit from additional support.
• Serves as a patient advocate, enhancing a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
• Has knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.
• Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education, and identify post-hospital needs. Collaborates with clinical staff in developing and executing the plan of care, and achieving goals.
• Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.

Knowledge/Skills/Abilities/Expectations

• Knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
• Knowledge of Medicare benefits and insurance processes and contracts.
• Knowledge of accreditation standards and compliance requirements.
• Ability to demonstrate critical thinking, appropriate prioritization, and time management skills.
• Basic computer skills with working knowledge of Microsoft Office, word-processing, and spreadsheet software.
• Excellent interpersonal, verbal, and written skills to communicate effectively and obtain cooperation/collaboration from hospital leadership, physicians, payors, and other external customers.
• Demonstrates good interpersonal skills when working or interacting with patients, their families, and other staff members.

Qualifications

• Education: Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations.
• Licenses/Certification: Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations. Certification in Case Management a plus.
• Experience: Two years of experience in a healthcare setting preferred. Prefer prior experience in case management, utilization review, or discharge planning.

Pay Range

$35.22-$50.30/hr.

Benefits

ScionHealth offers a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.