PRN Access Case Manager - Admissions Local Atlanta

About Shepherd Center

With five decades of experience, Shepherd Center provides world-class clinical care, research, and family support for people experiencing the most complex conditions, including spinal cord and brain injuries, multi-trauma, traumatic amputations, stroke, multiple sclerosis, and pain. An elite center ranked by U.S. News as one of the nation’s top hospitals for rehabilitation, Shepherd Center is also recognized as both Spinal Cord Injury and Traumatic Brain Injury Model Systems. Shepherd is the only rehabilitation facility in the nation with an intensive care unit on-site, allowing us to care for the most complex patients and begin the rehabilitation process sooner. Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again. Shepherd Center's culture is one of hope, humor, and hard work. You will enjoy career growth, strong relationships with co-workers, strong support from leadership, and fun activities that have kept over 12% of staff members working at Shepherd for more than 20 years.

Responsibilities

• Serves as a clinical representative and educator for Shepherd to external referral sources and evaluates the external patients as to the appropriateness of their admission to Shepherd.
• Works directly with patients and their families, creating an engaging and dynamic work environment.
• Improves the patient experience at Shepherd Center.
• Represents Shepherd to the external community.
• Establishes and maintains rapport with families and referral sources.
• Participates with marketing department to assist with referral development and managing account activities using the Salesforce CRM platform as outlined in the individual marketing plan.
• Screens all medical records to make sure that the information is useful and in chronologic order based on date.
• Aids Admissions Department for follow-up on clinical verification when there is a gap in time from referral from clinic.
• Screens orders both externally and from SC clinics to ensure appropriateness of referrals and determine if any Pathways OP referrals can be converted to Day Program referrals if appropriate and space allows.
• Determines if a patient does not meet admissions criteria and refers patients to alternate programs based on telephone interview.

Requirements

• Associates or Bachelor’s degree (allied health, nursing, or related field) or appropriate state licensure.
• Certification in Case Management (Case Management Society of America, American Case Management Association, American Nurses Credentialing Center, or equivalent certification within two years of position start date). Individuals hired prior to October 1, 2022 are exempt and must obtain their CCM or ACM within two years from October 1, 2022. Appropriate (PT, OT, SLP, RN, Licensed Social Worker, Respiratory Therapist or Certified Recreational Therapist) or appropriate advanced degree.
• Minimum of two (2) years broad clinical experience. Experience in care coordination, case management, discharge planning and utilization review preferred.

Skills

• Effective time management skills.
• Excellent communication skills, both verbal and written.
• Effective decision making/problem-solving skills and creativity in problem solving.
• Demonstrated effective critical thinking skills and ability to anticipate patient discharge needs.
• Understanding of the interdisciplinary team approach and rehabilitation environment.
• Moderate to expert computer skills.
• Working knowledge of financial aspects of third-party payors and reimbursement.

Qualifications

• N/A

Physical Demands

Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time or exerting up to 15 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Must be able to travel 70-75%.

WORKING CONDITIONS

Some potential for exposure to blood and body fluids.