Case Manager II - Full Time Days

Job Summary

Careers Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is a 177-bed hospital with 159 long-term acute care hospital (LTACH) beds. The ARU is designed for individuals who have experienced debilitating effects from acute injuries, impairments, or illnesses and requires 24-hour clinical care seven days a week.

About the Role

The role coordinates and facilitates patient care through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. This includes monitoring patients' stays for optimal care coordination and ensuring compliance with external review agencies.

Essential Functions

• Care Coordination: Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
• Maintains Current Knowledge: Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues affecting patients and providers of care.
• Referral of High-Risk Patients: Appropriately refers high-risk patients who would benefit from additional support.
• Patient Advocate: Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
• Collaborative Relationship: Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education, and identify post-hospital needs.
• Plan of Care: 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.
• Discharge Planning: Conducts comprehensive, ongoing assessment of patients to provide timely and safe discharge planning. Provides comprehensive discharge planning for each patient. Utilizes critical thinking to develop and execute effective discharge planning. Coordinates and communicates with patient/family efficiently and effectively.
• Utilization Management: Conducts medical necessity review for appropriate utilization of services from admission through discharge. Promotes effective and efficient utilization of clinical resources. Conducts timely and accurate clinical reviews, care collaboration, and coordination of continued stay authorization with payor.

Qualifications

• Education: Graduate of an accredited program required for RN. BSN preferred or MSW/BSW with licensure as required by state regulations.
• Licenses/Certifications: 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. Prior experience in case management, utilization review, or discharge planning is preferred.