Case Manager (CM), Registered Nurse (RN), PRN

Lifepoint Health • Alma, MI

23h

About The Position

Lifepoint Rehabilitation is hiring a Case Manager at MyMichigan Medical Center Alma. The Case Manager supports patient care and rehabilitation by coordinating care planning, utilization review, communication with patients and caregivers, and safe discharge planning. The role also completes assessments and documentation, collaborates across departments, and contributes to performance improvement activities. The position is PRN and scheduled for daylight hours.

Requirements

• Hold a current professional license as a Registered Nurse, Social Worker, Respiratory Therapist, Physical Therapist, Speech-Language Pathologist, or Occupational Therapist.

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, as appropriate, to support patient care, identify care or discharge barriers, and develop solutions.
• Complete documentation within required timelines and content standards, including the Individual Plan of Care in accordance with CMS guidelines.
• Schedule family conferences and communicate with caregivers after team conferences and as needed about patient progress, rehabilitation goals, the course of the stay, and discharge plans.
• Coordinate weekly patient care team conferences to develop, monitor, and refine treatment plans and outcomes.
• Review assigned patient CMGs and help identify potentially missed comorbid conditions actively treated during the stay; communicate findings to the HIM team.
• Communicate effectively with nursing, therapy, and ancillary departments to support proper 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, follow-up care, durable medical equipment, supplies, outpatient therapy, dialysis, skilled nursing, assisted living, hospice, and private duty care.
• Coordinate patient care needs before discharge to ensure a safe and 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 for discussion and action.
• Perform an intake assessment within 24 to 72 hours of admission, preferably within 48 hours.
• Perform follow-up assessments according to the Case Management Plan and/or hospital policy.
• Remain flexible and organized and function effectively in stressful situations.

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 coverage.
• 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

• Education Level: No Education Listed