Case Manager (CM), PRN

Description

Case Manager (CM) - Inpatient Rehabilitation

Per Diem

Wage scale: $55.00 per hour

Supportive Leadership Superior Outcomes

Your experience matters

AtPalomar Health Rehabilitation Institute we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person. As a Case Manager joining our team youre embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.

How youll contribute

Completes departmental orientation initial and annual competencies.

Assists with departmental specific performance improvement initiatives collecting and reporting data as requested by supervisor.

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 patients assigned CMG and helps the team identify any potential missed comorbid conditions that are actively being treated during the patients stay. Communicates any findings to the HIM team.

Communicates effectively with nursing therapy and other ancillary departments to ensure proper utilization.

If no Lead Case Manager the CM participates as the facility representative for national CM Conference calls and communicates new information to the facility CMs.

Assists with concurrent and retrospective utilization review activities including denials and appeals. Works with physicians to conduct peer review with payer medical director when indicated.

Ensures clinical updates are provided to all insurance payers when due and all payer communications are documented in Meditech.

Coordinates discharge planning needs including but not limited to; home health services physician follow up care durable medical equipment medical supplies healthcare services outpatient therapy dialysis skilled nursing care assisted living care hospice care private duty care etc. Responsible for coordinating all patient care needs prior to discharge ensuring a safe thorough discharge plan. Ensures patient choice is offered and documented as per CMS Conditions of Participation for Discharge Planning.

Identifies trends that impact the quality cost effectiveness patient experience and delivery of care services and brings to departmental leadership meetings for discussion and action.

Performs intake assessment on patient within 24 to 72 hours of admission preferably within 48 hours.

Performs follow-up assessments per Case Management Plan and/or hospital policy.

Demonstrates an ability to be flexible organized and function under stressful situations.

Other duties as assigned.

What we offer

Fundamental to providing great care is supporting and rewarding our addition to your base compensation this position also offers:

• Comprehensive Benefits :Multiple levels of medical dental and vision coverage for full-time andpart-time employees.
• Financial Protection & PTO :Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.
• Financial & Career Growth :Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.
• Employee Well-being :Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).
• Professional Development :Ongoing learning and career advancement opportunities.

Qualifications and requirements:

Current Registered Nurse or Social Work licensure or Healthcare professional licensure as Respiratory Therapist Physical Therapist Speech Language Pathologist or Occupational Therapist.

Certification in Case Management or Rehabilitation Nursing preferred; for example Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.: RN-BC

Minimum of 2 years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred.

Effective oral and written communication skills in English additional languages preferred.

Basic computer skills in excel word outlook power point etc. required.

Must have good organizational skills time management skills and analytical ability in order to interpret information and carry out duties independently

Must be cooperative and have the desire to be a team player.

Must recognize and observe confidentiality principles.

About us

Palomar Health Rehabilitation Institute is a 52-beds inpatient hospital located in Escondido California and is part of Lifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.

EEOC Statement

Lifepoint Rehabilitation is an Equal Opportunity Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Required Experience:

Manager