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Case Manager
2 months ago
Kindred Healthcare is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in coordinating and facilitating the care of our patient population.
Key Responsibilities- Care Coordination
- Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
- Monitors all areas of patients' stay for effective care coordination and efficient care facilitation.
- Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
- Appropriately refers high risk patients who would benefit from additional support.
- Serves as a patient advocate, enhancing a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
- Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
- Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs.
- Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.
- Knowledge/Skills/Abilities/Expectations
- Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
- Knowledge of Medicare benefits and insurance processes and contracts.
- Knowledge of accreditation standards and compliance requirements.
- Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
- Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
- Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers.
- Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.
- Approximate percent of time required to travel, 0%.
- Must read, write and speak fluent English.
- Must have good and regular attendance.
- Performs other related duties as assigned.
- Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations.
- Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
- Certification in Case Management a plus.
- Two years of experience in a healthcare setting preferred.
- Prefer prior experience in case management, utilization review, or discharge planning.
