Care Manager
1 week ago
Job Summary
The Global Patient Services Care Manager will coordinate clinical care for specialized populations, including International Patients, Military Patients, Injured Workers, and other individuals with unique rehabilitation needs.
This role requires a high level of communication, accountability, flexibility, and problem-solving skills to ensure seamless care transitions and effective management of patient services.
The ideal candidate will have a Master's degree in Social Work or a related field, current Illinois licensure, and a minimum of 2 years of progressively responsible related clinical work experience.
Key Responsibilities
- Provide single point of contact for special populations, including Military, International, and Worker's Compensation patients, families, external Case Managers, referral sources, and payers.
- Lead treatment planning to ensure unique needs, including return to work goals, embassy requirements, international discharges, LOS, home modifications, and life-care planning are addressed.
- Manage external Case Management, Claims Adjuster, Medical Attach, and Embassy communication, keeping referral and payer representatives informed of patient progress and ongoing needs.
- Secure pre-authorizations, embassy approvals, and letters of compensability prior to admission.
- Work with Patient Financial Services and Managed Care to negotiate self-pay agreements, payer pay discounts, and single-case agreements with third parties.
- Manage and disseminate information on local housing, air ambulances, ground transportation, and other travel resources for out-of-state families.
- Coordinate interpreter/translation services for International Patients.
- Coordinate care with external providers/partners to ensure a smooth transition.
- Participate in quality improvements in individual, team, and program performance.
Reporting Relationships
Reports directly to the Director, Global Patient Services.
Knowledge, Skills & Abilities Required
Master's degree in Social Work or a related field, current Illinois licensure, and a minimum of 2 years of progressively responsible related clinical work experience.
Working Conditions
Normal office environment with little or no exposure to dust or extreme temperature.
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