Certified Case Manager
About The Position
The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience. The CCM coordinates and advocates for the patient during their hospitalization and from admission to post discharge. As an effective communicator, the CCM manages information to effectively oversee health care delivery and facilitate interdisciplinary plan of care decisions. The CCM facilitates timely communication regarding the patient's care, establishes and monitors the discharge plan implementation while identifying and addressing patient's psychosocial and support systems issues. The CCM oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management. The CCM performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The CCM assures that regulations regarding patient's rights are fulfilled.
Requirements
- Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
- If licensure is required for his/her discipline within his/her state, individual must hold an active license.
- Current CCM or ACM certification required.
- For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is diploma rather than Associate Degree.
- For all other eligible licensed or certified health care professionals, must possess a minimum of a baccalaureate degree and graduate degree is preferred.
- Ability to speak, read, write, and communicate effectively.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without supervision.
- Adheres to the company's Standards of Business Conduct.
- Maintains current licensure and/or certifications, if applicable.
- Meets established attendance standards.
- Adheres to hospital/department dress code including wearing ID badge.
Nice To Haves
- 2 years of rehabilitation experience preferred
Responsibilities
- Manages and directs resource utilization
- Coordinates and advocates for the patient during their hospitalization and from admission to post discharge
- Manages information to effectively oversee health care delivery and facilitate interdisciplinary plan of care decisions
- Facilitates timely communication regarding the patient's care
- Establishes and monitors the discharge plan implementation while identifying and addressing patient's psychosocial and support systems issues
- Oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management
- Performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team
- Assures that regulations regarding patient's rights are fulfilled
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
