Clinical Case Manager/Day Rehab - PRN

Children's Healthcare of Atlanta • Sandy Springs, GA

59d

About The Position

Provides for patient care coordination and ongoing program review to ensure appropriate progress with patient/family moving through the continuum of care with the ultimate goal of returning to the home/community. Maintains necessary documentation and communication with external case managers and/or payors for insurance re-certification. Coordinates patient/family copayment responsibilities with Patient Accounts. Maintains patient program evaluation documentation, e.g., outcome measures. Analyzes trends and reports for quality improvement purposes. Proactively supports efforts that ensure delivery of safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta.

Requirements

• 1 year of experience in case management in a hospital environment; pediatrics preferred
• Bachelor's degree
• Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact or Certified Rehabilitation Counselor (CRC), Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM) or certified/registered in social work, occupational therapy, physical therapy, physical therapy assistant, or speech-language pathology
• Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment
• Must successfully pass Epic training within 30 days of employment

Nice To Haves

• Master's degree
• Experience in a rehabilitation hospital
• 3 years of experience in case management in hospital environment
• Previous RN experience

Responsibilities

• Facilitates ongoing re-evaluation/oversight of patient treatment or intervention program(s) and level of care, working with clinicians, physicians, service providers, educational programs, and appropriate team members to determine and maintain proper level of care.
• Assists in discharge timeframe and appropriate discharge placement.
• Communicates with external case managers, physicians, and/or payors to update on patient medical progress and produce letters of medical necessity for insurance re-certification and determine proper level of care.
• Performs discharge planning to facilitate a smooth transition to appropriate setting, linking family/child with community resources and providing support systems to maintain a realistic viable plan.
• Obtains approval and orders all equipment essential for post-discharge care.
• Maintains therapeutic relationship with patient and family and communicates relevant information at the patient/family level of understanding.
• Identifies patient/family need for services from ancillary departments and provides follow-up and referral as necessary.
• Participates in maintaining and monitoring the work environment to ensure a continual state of Joint Commission readiness.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees