Case Manager Per Diem

Kindred Healthcare•Baldwin Park, CA

1d•$45 - $57•Onsite

About The Position

Kindred Hospital Baldwin Park is a 91-bed hospital providing specialized acute care and rehabilitation for critically ill patients. The Case Manager coordinates and facilitates care through collaboration and communication with the Interdisciplinary Care Transitions team. The role follows patients throughout the continuum of care and supports effective resource utilization, service delivery, and compliance with external review agencies. It provides ongoing expertise through comprehensive assessment, care planning, implementation, and evaluation of individual patient needs, integrating case management, utilization review and management, and discharge planning to improve patient management, satisfaction, continuity of care, and cost effectiveness. The position coordinates clinical and psychosocial activities with the interdisciplinary team and physicians, monitors care coordination throughout patients’ stays, advocates for patients and families, and participates in rounds and conferences. It also assesses discharge needs, plans safe and timely transitions, and reviews medical necessity and continued-stay authorizations. The role requires knowledge of payer practices, Medicare, accreditation and compliance requirements, strong communication and organizational skills, and basic computer proficiency. Travel is approximately 0–25%.

Requirements

Graduate of an accredited program required for Registered Nurses.
Healthcare professional licensure as a Registered Nurse, or as a Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) when required by state regulations.
Knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
Knowledge of Medicare benefits, insurance processes, and contracts.
Knowledge of accreditation standards and compliance requirements.
Ability to demonstrate critical thinking, prioritization, and time management.
Basic computer skills and 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 in reading, writing, and speaking English.

Nice To Haves

BSN preferred.
Certification in Case Management is a plus.
Two years of experience in a healthcare setting preferred.
Prior experience in case management, utilization review, or discharge planning preferred.
MSW or BSW with licensure as required by state regulations.

Responsibilities

Coordinate clinical and psychosocial activities with the interdisciplinary team and physicians.
Monitor patients’ stays to support effective care coordination and efficient care facilitation.
Maintain current knowledge of reimbursement modalities, community resources, case management, and psychosocial and legal issues affecting patients and providers.
Refer high-risk patients who may benefit from additional support.
Advocate for patients and foster collaboration so patients and families can make informed decisions.
Apply knowledge of growth and development across the lifespan to provide age-appropriate care.
Participate in interdisciplinary 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 care continuum with care team members, physicians, patients, families, post-acute providers, payors, and others.
Conduct comprehensive, ongoing patient assessments to support timely and safe discharge planning.
Develop and execute comprehensive discharge plans using critical thinking.
Communicate and coordinate effectively with patients and families.
Conduct medical necessity reviews from admission through discharge.
Promote effective and efficient utilization of clinical resources.
Conduct timely and accurate clinical reviews and coordinate continued-stay authorizations with payors.
Perform duties in accordance with company conduct standards, policies, procedures, compliance requirements, applicable laws, and professional standards.
Serve on Hospital and Division committees when requested.
Perform other related duties as assigned.
Maintain good and regular attendance.