Case Manager
2 months ago
Case Manager (RN, LSW, RT, ST, PT, OT)
The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate achievement of desired financial and quality outcomes. The Case Manager will also maintain and enhance payor relationships. Performs other related duties as assigned or requested. This is an exempt position.
RESPONSIBILITIES
Admission Data Collection and Assessment
• Assesses, plans, monitors, and coordinates plan of care from pre-admission to community re-entry through the implementation of case management standards and processes.
• Assesses the individual’s personal and medical history, current status, diagnosis, prognosis, and the proposed treatment plan.
• Promotes and utilizes the appropriate level of care for the patient and refers to other facilities as needed.
• Adheres to contract agreements and specific criteria.
• Serves as a liaison with payor source points of contact to verify and guarantee coverage and identify items required to process the claim for service.
• Assists patient and or caregiver in developing realistic goals to direct the treatment regimen.
• Proactively communicates with payor source to explore coverage solutions (flex benefits, out of contract, etc.).
Planning, Implementation & Facilitation
• Promotes optimal outcomes for the patient within the boundaries of the diagnosis.
• Coordinates and facilitates interdisciplinary team (IDT) meetings and plan of treatment.
• Meets with patient, family, and IDT to facilitate “continuity of care”.
• Implements utilization review process and continuously evaluates the appropriate level of care with the interdisciplinary team and payor, and patient/caregiver(s). Proactively obtains authorization for any extension of service of LOS.
• Coordinates the discharge plan with the IDT and providers.
• Monitors expense versus revenue for caseload on a daily basis.
Advocacy
• Proactively collaborates with the health care team, payors, community agencies, providers and legal representatives to ensure continuity throughout the continuum.
• Serves as a liaison with the treatment team and the primary care physician, referring physician, medical director, patient/caregiver(s), and other parties as appropriate.
• Promotes effective communications among treatment team members, patient/caregiver(s), primary care physician, referring physician, medical director, and payor.
• Participates in care conferences, family conferences, etc. when indicated.
• Educates and supports the individual/family to be empowered and self-reliant in being advocates for themselves.
• Uses the mechanism of early referral to promote and provide optimum care and cost containment.
• Represents the individual’s best interests through assisting in finding necessary funding, offering treatment alternatives, and coordinating treatment.
Monitoring & Evaluation
• Continuously reviews and evaluates the patient’s progress, as reflected by the goals defined in the treatment plan.
• Uses appropriate auditing processes and tools to ensure department and treatment efficiency.
• Participates in performance improvement evaluation processes with particular emphasis on results-oriented treatment.
Professional Growth
• Maintains professional growth in case management by: attending continuing education opportunities; reviewing pertinent professional literature; maintaining knowledge of current community resources; and reviewing and being familiar with the managed care marketplace to determine managed care growth potential, opportunities, penetration, service trends, relationships, networks, etc.
QUALIFICATIONS
Education and Training: RN, OT, PT, SLP, RT or LSW licensure in state where the hospital resides required. Current BLS certification required.
Experience: Three to five years of inpatient experience, preferably in an acute, IRF or LTACH setting.
ABOUT US
PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 70 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research.
Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program.
We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.PAMHealth.com for a comprehensive look at how we're able to positively impact our local communities.
PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.
-
Stronger Connections Case Manager
2 months ago
Victoria, United States Victoria Independent School Full timeTo view full job description click on the following link:Stronger Connections Case Manager Contract Days: 193 Pay Grade: Admin/Instr 3 Primary Purpose: Supplement and support case management services through the Stronger Connections Grant at assigned campus. Assist in addressing the academic and non-academic needs of students by providing safe, inclusive,...
-
Case Manager
2 days ago
Victoria, Texas, United States Dwyer Workforce Developement Full timeJob SummaryWe are seeking a highly motivated and experienced Case Manager to join our team at Dwyer Workforce Development. As a Case Manager, you will play a critical role in providing comprehensive support and services to individuals who aspire to pursue a career in the healthcare industry.Key ResponsibilitiesDevelop and Maintain Knowledge: Develop a good...
-
Case Manager
3 days ago
Victoria, Texas, United States Dwyer Workforce Developement Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented Case Manager to join our team at Dwyer Workforce Development. As a Case Manager, you will play a critical role in providing comprehensive support to individuals who lack opportunity and aspire to pursue a career in the healthcare industry.Key ResponsibilitiesDevelop and Implement Support...
-
Case Worker
2 months ago
Victoria, United States The Salvation Army Full timeAbout this opportunity: Monitors assigned caseload of clients participating in an day services program , Life Enrichment Center; establishes program plan/goals and evaluates client's progress by conducting routine meetings with client and/or staff; serves as advocate for client in order to acquire services that will enable them to better function in...
-
Registered Nurse
2 weeks ago
Victoria, United States Citizens Medical Center Full timeDescription JOB SUMMARY The RN Case Manager is responsible for case managing patients assigned to them by ensuring coordination amongst home health disciplines to meet quality outcomes and moving the patient toward meeting their health goals and a state of independence. The RN is responsible for initiating and ensuring execution of care plans for patients...
-
Cased Hole Operations Engineer
2 weeks ago
Victoria, Texas, United States Horizontalwireline Full timeJob OverviewThe Cased Hole Field Engineer is crucial in overseeing our teams, upholding our corporate values, and providing exceptional service to our clients.This role encompasses various responsibilities that contribute to the success of our field operations while promoting our safety and service quality standards.The Cased Hole Field Engineer will report...
-
Cased Hole Wireline Operator
3 days ago
Victoria, Texas, United States Allied-Horizontal Full timeAbout the RoleThe Cased Hole Wireline Operator plays a critical role in the success of Allied-Horizontal's operations. This position involves learning and executing safe and successful wireline operations, working closely with the crew leader and operations management team.Key ResponsibilitiesSafely Operate Heavy Equipment: The Cased Hole Wireline Operator...
-
Field Engineer for Cased Hole Services
2 weeks ago
Victoria, Texas, United States Horizontalwireline Full timeJob OverviewThe Cased Hole Field Engineer is essential in overseeing our teams, upholding our organizational values, and providing exceptional service to our clients.This role encompasses various responsibilities crucial to the success of our field operations while promoting our safety and service quality standards.The Cased Hole Field Engineer reports...
-
Private Duty Nurse RN
6 days ago
Victoria, Texas, United States Aveanna Healthcare Full timeAbout the RoleAveanna Healthcare is seeking a dedicated and compassionate Private Duty Nurse RN to join our team. As a Private Duty Nurse RN, you will play a vital role in providing one-on-one care to our patients, helping them to transition home from the hospital and receive the continuous care they need to thrive.Key ResponsibilitiesImplementation of...
-
Adult Patient Care Specialist
6 days ago
Victoria, Texas, United States Aveanna Healthcare Full timeAbout the RoleAveanna Healthcare is seeking a dedicated and compassionate Private Duty Nurse RN to join our team. As a Private Duty Nurse RN, you will play a vital role in providing one-on-one care to our patients, helping them to transition home from the hospital and receive the continuous care they need to thrive.Key ResponsibilitiesImplementation of...
-
Client Support Specialist
2 weeks ago
Victoria, Texas, United States The Salvation Army Full timeJob Title: Client Support SpecialistAbout Us:The Salvation Army is a prominent organization focused on improving the lives of individuals within our community through various support programs. We are dedicated to delivering exceptional care and assistance to empower our clients in reaching their aspirations.Job Overview:As a Client Support Specialist, you...
-
Victoria, Texas, United States Aveanna Healthcare Full timeJob Summary:Aveanna Healthcare is seeking a skilled and compassionate Private Duty Nurse LVN to join our team. As a Private Duty Nurse, you will provide one-on-one care to our patients in their homes, assisting them with transitioning from the hospital and providing continuous care to remain at home with their loved ones.Responsibilities:Implement...
-
Victoria, United States Aveanna Healthcare Full timeAveanna Private Duty Nurse - LVN Part Time Weekend Nights (Victoria Tx & Surrounding Area) Aveanna's Private Duty nurses assist our patients with transitioning home from the hospital and provide the continuous care needed to remain at home with their loved ones. We match our nurses to their patients based on skill, age, health condition, and acuity level....
-
Victoria, United States Aveanna Healthcare Full timeAveanna Private Duty Nurse - RN Full Time/Part Time Days (Portland Tx & Surrounding Area) Aveanna's Private Duty nurses assist our patients with transitioning home from the hospital and provide the continuous care needed to remain at home with their loved ones. We match our nurses to their patients based on skill, age, health condition, and acuity level. Our...
-
Victoria, Texas, United States Aveanna Healthcare Full timeAbout Aveanna HealthcareAveanna Healthcare is a leading national provider of home health services to medically fragile children and adults. Our mission is to revolutionize the way homecare is delivered, one patient at a time.Job SummaryWe are seeking a compassionate and skilled Private Duty Nurse LVN/LPN to join our team. As a Private Duty Nurse, you will...
-
Aveanna Healthcare Private Duty Nurse
3 days ago
Victoria, Texas, United States Aveanna Healthcare Full timeJob SummaryAveanna Healthcare is seeking a skilled and compassionate Private Duty Nurse - LVN to join our team. As a Private Duty Nurse, you will provide one-on-one care to our patients in their homes, assisting them with transitioning from the hospital and providing continuous care to remain at home with their loved ones.ResponsibilitiesImplement and manage...
-
Victoria, Texas, United States Aveanna Healthcare Full timeJob Summary:Aveanna Healthcare is seeking a compassionate and skilled Private Duty Nurse - LVN to join our team. As a Private Duty Nurse, you will provide one-on-one care to our patients in their homes, assisting them with transitioning from the hospital and providing continuous care to remain at home with their loved ones.Responsibilities:Implementation of...
-
Aveanna Healthcare Private Duty Nurse RN
5 days ago
Victoria, United States Aveanna Healthcare Full timeAveanna Private Duty Nurse (Adult Patient) - RN Full Time/Part Time Days (Calallen Tx & Surrounding Area) Aveanna's Private Duty nurses assist our patients with transitioning home from the hospital and provide the continuous care needed to remain at home with their loved ones. We match our nurses to their patients based on skill, age, health condition, and...
-
Aveanna Healthcare Private Duty Nurse LVN
4 days ago
Victoria, Texas, United States Aveanna Full timeAbout the Role:Aveanna Healthcare is seeking a compassionate and skilled Private Duty Nurse to join our team. As a Private Duty Nurse, you will provide one-on-one care to our patients in their homes, assisting them with transitioning from the hospital and providing continuous care to remain at home with their loved ones.Responsibilities:Implementation of...
-
Private Duty Nurse RN: Full Time/Part Time Days
13 hours ago
Victoria, Texas, United States Aveanna Healthcare Full timeJob Summary:Aveanna Healthcare is seeking a skilled and compassionate Private Duty Nurse RN to join our team. As a Private Duty Nurse RN, you will provide one-on-one care to our patients in their homes, assisting them with transitioning from the hospital and providing continuous care to remain at home with their loved ones.Responsibilities:Implementation of...
