Case Manager

2 months ago

Upper Saint Clair, United States Encompass Health Full time
Weekend PRN

The Case Manager I (CM I) 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 CM I coordinates and advocates for the patient during their hospitalization and from admission to post discharge. As an effective communicator, the CM I manages information to effectively oversee health care delivery and facilitate interdisciplinary plan of care decisions. The CM I 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 Case Manager I 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 CM I performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The case manager assures that regulations regarding patient's rights are fulfilled.

Qualifications

License and Certification:

Must be qualified to independently complete an assessment within the scope of his/her discipline (RN, SW, PT, OT, ST or Rehabilitation Counselor)

If License required for one's discipline within the state individual must hold an active license.

CCM or ACM certification required or eligible to obtain within two years.

Education, Training and Years of Experience:

- 2 years of rehabilitation experience preferred

Machines, Equipment Used:

- General office equipment such as telephone, copy machine, fax machine, calculator, computer.

Physical Requirements:

- Good visual acuity and ability to communicate.

- Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.

Compliance:

- Adheres to the company's Standards of Business Conduct.

- Maintains current licensure and/or certifications, if applicable.

Skills and Abilities:

- 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.

Environmental Conditions:

- Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure.

- Exposure or potential exposure to blood and body fluids may be required.

- Handicapped accessible.

- May work under stressful circumstances at times.

Proficiency or Productivity Standards:

- Meets established attendance standards.

- Adheres to hospital/department dress code including wearing ID badge.

- May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.

- May be required to work on religious and/or legal holidays on scheduled days/shifts.

- Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster.

- May be required to stay after workday to assist after a disaster situation until relief arrives.

- May be required to perform other duties as assigned by supervisor.

- 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).

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