Case Manager II

Kindred Healthcare•Louisville, KY

13d•Onsite

About The Position

The Case Manager II coordinates and facilitates care for the patient population through collaboration and communication with the Interdisciplinary Care Transitions (ICT) team. The role follows patients throughout the continuum of care, supports appropriate resource utilization and service delivery, and helps ensure compliance with external review agencies. It provides ongoing expertise through assessment, care planning, plan implementation, and evaluation of individual patient needs. The position integrates case management, utilization review and management, and discharge planning to improve patient management and satisfaction, continuity of care, and cost effectiveness.

Requirements

Postsecondary certificate, diploma, or program graduation from an accredited school of nursing.
At least 2 years of experience in a healthcare setting.
RN state licensure and/or compact state licensure in the state of practice, or LCSW/LSW licensure.
Knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
Knowledge of Medicare benefits, insurance processes and contracts, accreditation standards, and compliance requirements.
Critical-thinking, prioritization, and time-management skills.
Basic computer skills, including working knowledge of Microsoft Office, word-processing, and spreadsheet software.
Excellent interpersonal, verbal, and written communication skills to obtain cooperation and collaboration from hospital leadership, physicians, payors, and external customers.
Good interpersonal skills when interacting with patients, families, and staff.
Fluent English reading, writing, and speaking skills.
Good and regular attendance.

Nice To Haves

Bachelor’s degree in nursing or social work, such as BSN, MSN, BSW, or MSW.
Prior experience in case management, utilization review, or discharge planning.
CSWCM (Social Work Case Manager Certification).

Responsibilities

Coordinate clinical and psychosocial activities with the Interdisciplinary Team and physicians.
Monitor patient stays to support effective care coordination and efficient care facilitation.
Refer high-risk patients who may benefit from additional support.
Serve as a patient advocate and foster collaboration that helps patients and families make informed decisions.
Apply knowledge of growth and development across the lifespan to support age-appropriate care.
Participate in interdisciplinary patient care rounds and conferences to review treatment goals, optimize resource use, provide family education, and identify post-hospital needs.
Collaborate with clinical staff to develop and execute plans of care and achieve goals.
Coordinate care planning across the continuum with interdisciplinary team members, physicians, patients, families, post-acute providers, payors, and others.
Maintain current knowledge of reimbursement modalities, community resources, case management, and psychosocial and legal issues affecting patients and care providers.
Perform other related duties as assigned.