Care Manager

Shirley Ryan Abilitylab • Burr Ridge, IL

402d

About The Position

The Care Manager at Shirley Ryan AbilityLab plays a crucial role in coordinating patient care by assessing, developing, and monitoring care plans in collaboration with clinical teams and third-party payors. This position emphasizes effective communication, advocacy, and resource management to ensure patients receive appropriate rehabilitation services while adhering to the organization's mission and core values.

Requirements

• Bachelor's degree in Nursing or Master of Social Work (MSW) with Illinois license or certification in one's own profession.
• 2 years of experience in rehabilitation nursing or social work.
• CRRN certification strongly preferred for nursing care managers.
• Analytical ability and knowledge of community resources, health care systems, and interdisciplinary functioning.
• Interpersonal communication and advocacy skills to work with patients, families, and various medical professionals.
• Capable of learning and utilizing PC software to collect and analyze data and prepare and aggregate reports.

Responsibilities

• Serve as the liaison for the clinical team for pre-admission clinical and financial information.
• Evaluate assessment information, assign patients to the appropriate clinical path, and monitor in conjunction with the physician and clinical team.
• Disseminate pertinent family dynamics to the team.
• Coordinate patient care by facilitating clinical team conferences, overseeing the ordering of patient durable medical equipment (DME) and supplies, and ensuring completion of treatment plans.
• Monitor patient and family goal attainment relative to interdisciplinary treatment goals and address the appropriateness of the level of care with clinical team conferences.
• Initiate and maintain communication with external case managers and primary care physicians to obtain pre-authorization for ongoing rehabilitation needs and advocate for the patient to receive appropriate rehabilitation services.
• Communicate in the format defined by the third-party payor.
• Negotiate any conflict arising with a third-party payor representative on behalf of the patient and Institute during their rehabilitation program.
• Participate in planning, development, and execution of Shirley Ryan AbilityLab sponsored educational programs and presentations to external physicians, clinical staff, acute care facilities, insurance groups, managed care organizations, corporations, and other appropriate groups.
• Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Social Assistance
• Education Level: Bachelor's degree