Case Manager, Social Worker PT

Lifepoint Health•Gainesville, GA

4d•Onsite

About The Position

As a Case Manager, Social Worker joining our team, you’re embracing a vital mission dedicated to making communities healthier®. Northeast Georgia Rehabilitation Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

Requirements

Bachelor's degree in social work
Minimum of 2 years social work or case management experience in an inpatient setting highly preferred
Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist.
Certification in Case Management or Rehabilitation Nursing preferred
Strong organizational and skills
Strong communication skills

Responsibilities

Completes departmental orientation, initial and annual competencies.
Assists with departmental specific performance improvement initiatives collecting and reporting data as requested by supervisor.
As appropriate, consults other departmental staff to collaborate in patient care delivery, identify barriers to care and or discharge and develop solutions/resolution.
Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines.
Schedules family conferences and/or communicates 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.
Coordinates weekly patient care team conferences to facilitate development, monitoring and refinement of treatment plan to achieve identified patient goals and outcomes.
Reviews the patient’s assigned CMG and helps the team identify any potential missed comorbid conditions that are actively being treated during the patient’s stay.
Communicates any findings to the HIM team.
If no Lead Case Manager, the CM participates as the facility representative for national CM Conference calls and communicates new information to the facility CMs.
Assists with concurrent and retrospective utilization review activities including denials and appeals.
Works with physicians to conduct peer review with payer medical director when indicated.
Performs intake assessment on patient within 24 to 72 hours of admission, preferably within 48 hours.
Performs follow-up assessments per Case Management Plan and/or hospital policy.
Other duties as assigned.