Case Manager Full Time

ScionHealth • Fort Worth, TX

74d

About The Position

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. The position coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. It follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. The role provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs, enhancing the quality of patient management and satisfaction, promoting continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Requirements

• Graduate of an accredited program required: LPN/LVN or RN
• Master of Social Work with licensure as required by state regulations; or Bachelor of Social Work with licensure as required by state regulations
• Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations
• One year of experience in healthcare setting
• Experience in case management, utilization review, or discharge planning a plus

Nice To Haves

• Knowledge of government and non-government payor practices, regulations, standards and reimbursement
• Knowledge of Medicare benefits and insurance processes and contracts
• Knowledge of accreditation standards and compliance requirements

Responsibilities

• Assist in coordinating clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians
• Assists with effective care coordination and efficient care facilitation
• Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care
• Appropriately refers high risk patients who would benefit from additional support
• Serves as a patient advocate
• Knowledgeable of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served
• Participates in interdisciplinary patient care rounds and/or conferences
• Collaborates with clinical staff in the execution of the plan of care, and achievement of goals

What This Job Offers

• Industry: Hospitals