Case Manager II PRN

Kindred Hospital Louisville is a 123-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. The facility includes 16 Special Care Unit beds and 4 negative pressure rooms. We partner with your physician and offer 24-hour clinical care 7 days a week. Located in the Original Highlands neighborhood, we are a short drive from downtown, Cherokee Park, and a variety of boutique shops and restaurants.

Responsibilities

• Care Coordination
  • Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
  • Monitors all areas of patients’ stay for effective care coordination and efficient care facilitation.
  • Remains current on reimbursement modalities, community resources, case management, psychosocial, and legal issues affecting patients and providers.
  • Appropriately refers high-risk patients who would benefit from additional support.
  • Serves as a patient advocate and enhances collaborative relationships to support informed decision-making by patients and families.
  • Demonstrates knowledge of growth and development principles across the lifespan to provide age-appropriate care.
  • 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 the interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others throughout the care continuum.
• Discharge Planning
  • Conducts comprehensive, ongoing assessments to provide timely and safe discharge planning.
  • Develops and executes effective discharge plans for each patient using critical thinking.
  • Coordinates and communicates efficiently with patients and families regarding discharge.
• Utilization Management
  • Conducts medical necessity reviews for appropriate utilization of services from admission through discharge.
  • Promotes effective and efficient utilization of clinical resources.
  • Performs timely and accurate clinical reviews, care collaboration, and coordination of continued stay authorization with payors.
• Other
  • Adheres to the Company’s Code of Business Conduct, policies, procedures, Corporate Compliance Agreement, federal and state laws, and professional standards.
  • Serves on Hospital and Division committees when requested.
  • Performs other related duties as assigned.

Requirements

• Education
  • Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required).
  • Bachelor’s Degree in nursing or social work: BSN, MSN, BSW, or MSW (Preferred).
• Licenses/Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of practice (Required upon hire).
  • LCSW - License Clinical Social Worker (LCSW or LSW) (Required upon hire).
  • CSWCM - Social Work Case Manager Certification (Preferred upon hire).
• Experience
  • 2+ years of experience in a healthcare setting (Required).
  • Prior experience in case management, utilization review, or discharge planning (Preferred).
• Skills/Abilities
  • Knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
  • Knowledge of Medicare benefits, insurance processes, and contracts.
  • Knowledge of accreditation standards and compliance requirements.
  • Ability to demonstrate critical thinking, prioritization, and time management skills.
  • Basic computer skills with working knowledge of Microsoft Office, word-processing, and spreadsheet software.
  • Excellent interpersonal, verbal, and written communication skills.
  • Demonstrates good interpersonal skills when interacting with patients, families, and staff.
  • Must read, write, and speak fluent English.
  • Must maintain good and regular attendance.