The Case Manager (CM) Coordinates patient care to ensure efficient resource use, high-quality service delivery, and compliance with regulatory standards. Conducts assessments, develops and implements care plans, and evaluates patient needs to support continuity of care and cost-effective outcomes. Collaborates with interdisciplinary teams, communicates with patients and families, and advocates for patient needs through care coordination and discharge planning. Upholds professional standards while supporting the organization’s mission, vision, and values. 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. Communicate any findings to the HIM team. Communicates effectively with nursing, therapy and other ancillary departments to ensure proper utilization.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed