PRN Case Manager II Days

Kindred Healthcare • San Antonio, TX

1h • Onsite

About The Position

Kindred Hospital Tarrant County Southwest is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. The hospital provides intensive care and telemetry-level services, offering advanced monitoring and support for patients requiring extended medical care. A multidisciplinary team is dedicated to personalized treatment plans, focusing on helping patients achieve significant recovery and transition to the next level of care. The Case Manager II coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. This role follows patients throughout the continuum of care, ensuring optimum utilization of resources, service delivery, and compliance with external review agencies. The Case Manager II 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, and promoting continuity of care and cost effectiveness through the integration of case management, utilization review and management, and discharge planning functions.

Requirements

• Graduate of an accredited program required for RN.
• MSW/BSW with licensure as required by state regulations (if not RN).
• Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
• 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.
• Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
• Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
• Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers.
• Must read, write and speak fluent English.
• Must have good and regular attendance.

Nice To Haves

• BSN preferred.
• Certification in Case Management a plus.
• Two years of experience in a healthcare setting preferred.
• Prior experience in case management, utilization review, or discharge planning preferred.

Responsibilities

• Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
• Monitors all areas of patients’ stay for 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. Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.
• Demonstrates knowledge 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 to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.
• Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients’ care throughout the care continuum.
• Performs other related duties as assigned.

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree