Case Manager - Rehabilitation

Lifepoint Health • Hannibal, MO

1d

About The Position

The Case Manager at Hannibal Regional Hospital coordinates patient care management and ensures appropriate resource utilization, service delivery, and compliance with external review agencies. The role provides ongoing support and expertise through assessment, care planning, implementation, and evaluation of individual patient needs. It integrates case management, utilization review and management, and discharge planning to support quality patient management, satisfaction, continuity of care, and cost effectiveness.

The position is part of the hospital-based inpatient rehabilitation and post-acute care team in a fast-paced environment. The Case Manager works with patients, caregivers, physicians, nursing, therapy, ancillary departments, payers, and other care providers to coordinate treatment goals and safe, thorough discharge plans. The schedule is full-time days, 40 hours per week, Monday through Friday.

Requirements

• At least 2 years of social work or case management experience in an inpatient setting is highly preferred.
• Effective oral and written communication skills in English.
• Basic computer skills in Excel, Word, Outlook, PowerPoint, and similar applications.
• Good organizational, time-management, and analytical skills to interpret information and work independently.
• Ability to be cooperative and work as a team player.
• Ability to recognize and observe confidentiality principles.

Nice To Haves

• Certification in Case Management or Rehabilitation Nursing is preferred, such as CCM, ARN certification, ACM, or ANCC Board Certification in Case Management (RN-BC).
• Acute-care or rehabilitation-hospital experience is preferred.
• Additional language skills are preferred.

Responsibilities

• Complete departmental orientation and initial and annual competencies.
• Assist with departmental performance-improvement initiatives by collecting and reporting data as requested by the supervisor.
• Consult and collaborate with departmental staff to support patient care, identify barriers to care or discharge, and develop solutions.
• Complete documentation according to workflow timelines and content requirements, including the Individual Plan of Care (IPoC) per CMS guidelines.
• Schedule family conferences and communicate with caregivers after team conferences and as needed about patient progress, rehabilitation goals, length and course of stay, and discharge plans.
• Coordinate weekly patient care team conferences to develop, monitor, and refine treatment plans and outcomes.
• Review the patient’s assigned CMG, help identify potentially missed comorbid conditions actively treated during the stay, and communicate findings to the HIM team.
• Communicate with nursing, therapy, and ancillary departments to support appropriate resource utilization.
• When there is no Lead Case Manager, represent the facility on national Case Management conference calls and communicate new information to facility Case Managers.
• Assist with concurrent and retrospective utilization review, including denials and appeals.
• Work with physicians on peer reviews with payer medical directors when indicated.
• Provide clinical updates to insurance payers when due and document payer communications in Meditech.
• Coordinate discharge planning needs, including home health, physician follow-up, durable medical equipment, medical supplies, healthcare services, outpatient therapy, dialysis, skilled nursing, assisted living, hospice, and private-duty care.
• Coordinate patient care needs before discharge and ensure a safe, thorough discharge plan.
• Offer and document patient choice in accordance with CMS Conditions of Participation for Discharge Planning.
• Identify trends affecting quality, cost effectiveness, patient experience, and care delivery, and bring them to departmental leadership meetings for discussion and action.
• Complete an intake assessment within 24 to 72 hours of admission, preferably within 48 hours.
• Complete follow-up assessments according to the Case Management Plan and/or hospital policy.
• Perform other duties as assigned.

Benefits

• Multiple levels of medical, dental, and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, and hospital indemnity insurance.
• Short- and long-term disability insurance.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed