Case Manager - Inpatient Acquired Brain Injury -Expansion 2A

Shepherd Center • Atlanta, GA

1d

About The Position

The Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care. The role ensures appropriate utilization management, care coordination, resource utilization, and clinical documentation, and is accountable for assessing, planning, implementing, evaluating, and communicating progression of the patient care plan. The Case Manager applies mutual respect and patient and family advocacy while providing leadership to internal partners and outside agencies to support best practices and quality clinical, financial, and patient satisfaction outcomes.

The position supports patients and families through care planning, coordination among providers and disciplines, clinic-based assistance, and post-discharge education and support. It also serves as a resource for colleagues and the community, supports quality and regulatory compliance, and maintains accurate documentation and appropriate certification.

Requirements

• Associate or bachelor's degree in allied health, nursing, or a related field, or appropriate state licensure.
• Case management certification from the Case Management Society of America, American Case Management Association, American Nurses Credentialing Center, or equivalent within two years of the position start date.
• Appropriate professional background such as PT, OT, SLP, RN, Licensed Social Worker, Respiratory Therapist, Certified Recreational Therapist, or an appropriate advanced degree.
• If unable to sit for the required certification, the Director may consider more than two years of healthcare experience in lieu of certification.
• At least two years of broad clinical experience.
• Effective time management skills.
• Excellent verbal and written communication skills.
• Effective decision-making and problem-solving skills, including creativity in problem solving.
• Demonstrated critical thinking skills and ability to anticipate patient discharge needs.
• Understanding of interdisciplinary teamwork and the rehabilitation environment.
• Moderate to expert computer skills.
• Working knowledge of third-party payor financial matters and reimbursement.

Nice To Haves

• Experience in care coordination, case management, discharge planning, or utilization review.

Responsibilities

• Advocate for patients and families by promoting high standards of patient care and participating in program evaluation, development, and other designated department tasks.
• Work closely with clinic physicians to address patient issues, including therapy goals, vocational interests and goals, and financial status.
• Work with patients and families to develop a mutually acceptable plan of care that maximizes the potential of the patient, family, and community.
• Bridge communication among providers, patients and families, interdisciplinary team members, and outside agencies to ensure high-quality, cost-effective, timely care.
• Coordinate physician orders to outside suppliers, including home health, durable medical equipment, and supplies.
• Collaborate with supervisory staff across departments to ensure quality patient care and work within Shepherd Center's philosophy, policies, and procedures.
• Promote a multidisciplinary approach to coordinate care and plan operations among disciplines.
• Act as a resource for case manager associates and practitioners, assist with problem solving and difficult cases, and provide expertise within the department, Shepherd Center, and community.
• Manage requests for medication assistance, forms, and letters received by the outpatient case management office.
• Support the team by meeting with patients, families, and vendors to create effective patient treatment plans.
• Provide direct assistance with customer service issues to help create positive outcomes for all parties.
• Complete regular rounding opportunities and assist with yearly evaluations of case management associates.
• Provide post-discharge education, guidance, and support, with a focus on medical, financial, and psychosocial needs.
• Complete thorough and accurate documentation in electronic records.
• Coordinate language services when interpretation is needed in the clinic.
• Maintain appropriate certification.
• Address ethical considerations and patient crises related to finances, neglect, abuse, and psychosocial needs.
• Maintain knowledge of relevant state and federal regulations, Joint Commission standards and criteria, and documentation requirements.
• Follow safety techniques and Center and departmental policies and procedures; report employee, patient, or visitor injuries or accidents and other safety issues to the supervisor and through the occurrence notification system.
• Monitor and ensure compliance with regulatory requirements, organizational standards, and policies and procedures; identify potential risks and support problem resolution.
• Perform other duties as assigned.

Benefits

• PRN employees who choose to take and pass the certification exam will be reimbursed for the exam and subsequent renewals.
• Career growth.
• Strong relationships with co-workers.
• Strong support from leadership.
• Fun staff activities.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree