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Lead Case Manager

2 months ago


San Antonio, Texas, United States Rehabilitation Institute of South San Antonio Full time
About the Role

We are seeking a highly skilled and experienced Lead Case Manager to join our team at the Rehabilitation Institute of South San Antonio. As a key member of our interdisciplinary team, you will play a vital role in delivering exceptional patient care and outcomes.

Key Responsibilities
  • Oversee and direct the activities of the case management department, ensuring seamless coordination of patient care and services.
  • Facilitate the hospital's quarterly Utilization Management Committee, ensuring compliance with CMS' Conditions of Participation.
  • Lead and coordinate departmental-specific performance improvement initiatives, reporting to the hospital's Quality Improvement Committee.
  • Collaborate with interdisciplinary teams to identify barriers to care and develop solutions, ensuring timely and effective patient discharge.
  • Ensure accurate and thorough case management documentation, adhering to workflow timeline requirements and CMS guidelines.
  • Schedule family conferences and communicate with caregivers to keep patients and designated caregivers informed of progress and plans for discharge.
  • Coordinate weekly patient care team conferences to develop, monitor, and refine treatment plans, achieving identified patient goals and outcomes.
  • Review patient assigned CMG and identify potential missed comorbid conditions, communicating findings to the HIM team.
Requirements
  • Current Registered Nurse or Social Work licensure or Masters or Bachelors in Social Work as required in the state where the hospital is located.
  • Certification in Case Management or Rehabilitation preferred.
  • Minimum of 2 years social work or case management experience in an inpatient setting, with acute/rehabilitation hospital experience preferred.
  • Previous leadership or supervisory experience strongly preferred.
  • Effective oral and written communication skills in English, with additional languages preferred.
About Us

The Rehabilitation Institute of South San Antonio is a state-of-the-art, 36-bed inpatient acute rehabilitation hospital dedicated to maximizing the health, function, and quality of life of those we serve. Our comprehensive physical medicine and rehabilitation programs provide ongoing care and specialized treatment to patients throughout their recovery journey.