Case Manager, Rehabilitation
About The Position
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 Case Manager will also complete departmental orientation, initial and annual competencies, and assist with departmental specific performance improvement initiatives by collecting and reporting data as requested by supervisor. As appropriate, the CM will consult other departmental staff to collaborate in patient care delivery, identify barriers to care and/or discharge, and develop solutions/resolutions. Documentation will be completed per workflow timeline and content requirements, including the Individual Plan of Care (IPoC) per CMS guidelines. The Case Manager will schedule family conferences and/or communicate with caregivers following each team conference to keep patients and designated caregivers informed of progress, provide information related to goal achievement, course of rehabilitation stay, and plans for discharge. Additionally, the CM will coordinate weekly patient care team conferences to facilitate the development, monitoring, and refinement of the treatment plan to achieve identified patient goals and outcomes, and communicate effectively with nursing, therapy, and other ancillary departments to ensure proper utilization.
Requirements
- Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist.
Responsibilities
- Providing care coordination including needs assessment and identification of care options
- Communication with patients and families in an interdisciplinary environment
- Completing departmental orientation, initial and annual competencies
- Assisting with departmental specific performance improvement initiatives collecting and reporting data as requested by supervisor
- Consulting other departmental staff to collaborate in patient care delivery, identify barriers to care and/or discharge and develop solutions/resolution
- Completing documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines
- Scheduling family conferences and/or communicating 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
- Coordinating weekly patient care team conferences to facilitate development, monitoring and refinement of treatment plan to achieve identified patient goals and outcomes
- Communicating effectively with nursing, therapy and other ancillary departments to ensure proper utilization
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
