Case Manager-Per Diem
Company: Central Texas Rehabilitation Hospital
Location: Austin
Posted on: May 27, 2023
Job Description:
Description
JOB SUMMARY:Coordinates management of care and ensures optimum
utilization of resources, service delivery and compliance with
external review agencies. Provides ongoing support and expertise
through comprehensive assessment, care planning, plan
implementation and overall evaluation of individual patient needs.
Enhances the quality of patient management and satisfaction, to
promote continuity of care and cost effectiveness through the
integration of functions of case management, utilization review and
management and discharge planning.Provides ongoing support and
expertise through comprehensive assessment, care coordination, plan
implementation and overall evaluation of individual patient needs
while ensuring patient preferences. - - - - - - - - - - - - - - - -
- - Serves as a patient advocate through resource utilization,
discharge planning and addressing the holistic needs of the
patient. The Case Manager (CM) is responsible for providing care
coordination including needs assessment and identification of care
options, communication with patients and families in an
interdisciplinary environment consistent with the position's
qualifications, professional practices and ethical standards. The
CM shall be accountable for carrying out all responsibilities in
accordance with Kindred Healthcare CORE values. - -Promotes the
hospital's mission, vision, and values.ESSENTIAL FUNCTIONS:
Completes documentation per workflow
timeline and content requirements including completion of the
Individual Plan of Care (IPoC) per CMS guidelines.Schedules family
conferences and/or communicates with caregiver following each team
conference and more often as needed to keep patient and designated
caregiver informed of progress and provides appropriate information
related to goal achievement, course of rehabilitation stay, and
plans for discharge. - Coordinates weekly patient care team
conferences to facilitate development, monitoring and refinement of
treatment plan to achieve identified patient goals and
outcomes.Reviews the patient's assigned CMG and helps the team
identify any potential missed comorbid conditions that are actively
being treated during the patient's stay. Communicates any findings
to the HIM team. - If no Lead Case Manager, the CM participates as
the facility representative for national CM Conference calls and
communicates new information to the facility CMs.Assists with
concurrent and retrospective utilization review activities
including denials and appeals. Works with physicians to conduct
peer review with payer medical director when indicated. Ensures
clinical updates are provided to all insurance payers when due and
all payer communications are documented in Meditech.Coordinates
discharge planning needs including but not limited to; home health
services, physician follow up care, durable medical equipment,
medical supplies, healthcare services, outpatient therapy,
dialysis, skilled nursing care, assisted living care, hospice care,
private duty care, etc. Responsible for coordinating all patient
care needs prior to discharge ensuring a safe thorough discharge
plan. Ensures patient choice is offered and documented as per CMS'
Conditions of Participation for Discharge Planning.Identifies
trends that impact the quality, cost effectiveness, patient
experience and delivery of care services and brings to departmental
leadership meetings for discussion and action.Performs intake
assessment on patient within 24 to 72 hours of admission,
preferably within 48 hours.Qualifications
Current Registered Nurse or Social
Work licensure or Healthcare professional licensure as Respiratory
Therapist, Physical Therapist, Speech Language Pathologist or
Occupational Therapist.Certification in Case Management or
Rehabilitation Nursing preferred; for example, Commission for Case
Manager Certification (CCM); Association of Rehabilitation Nurses
(ARN) certification, American Case Management Association (ACM) or
Board Certification in CM by the ANCC e.g.: RN-BCMinimum of 2 years
social work or case management experience in an inpatient setting
highly preferred; acute/rehabilitation hospital experience
preferred.Must have good organizational skills, time management
skills and analytical ability in order to interpret information and
carry out duties independentlyMust be cooperative and have the
desire to be a team player.
Keywords: Central Texas Rehabilitation Hospital, Austin , Case Manager-Per Diem, Executive , Austin, Texas
Didn't find what you're looking for? Search again!
Loading more jobs...
