Case Manager

NeuLife; Florida; Presencial; USD 33.000 - 43.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive pay

Full medical benefits

401(k) retirement plan

Paid vacation and sick leave

Growth opportunities

Descripción de la vacante

Neulife Rehabilitation of Florida is seeking a skilled Case Manager at our Mt. Dora location to coordinate resident care, manage insurance authorizations, and facilitate discharge planning within an interdisciplinary team.

You will advocate for residents and families, monitor progress, ensure timely documentation, and collaborate with physicians, therapists, and insurers to remove barriers to care in a fast-paced rehabilitation setting.

Formación

• Excellent written and verbal communication skills.
• Strong organizational skills and attention to detail.
• Compassionate, resident-focused approach with strong advocacy skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Ability to work independently while collaborating with an interdisciplinary team.

Responsabilidades

• Coordinate and oversee case management for residents.
• Manage insurance authorizations and utilization management.
• Facilitate discharge planning and coordinate post-discharge services.
• Maintain accurate and timely documentation and ensure regulatory compliance.
• Collaborate with physicians, nursing staff, therapists, families, and external providers.

Conocimientos

Communication skills

Organizational skills

Problem-solving

Advocacy

Team collaboration

Multitasking

Independence

Descripción del empleo

CASE MANAGER

Neulife Rehabilitation of Florida (NLRF) is seeking a skilled, compassionate, and highly organized Case Manager to join our team at our Mt. Dora location.

Neulife Rehabilitation specializes in providing post-acute rehabilitation and residential services to individuals with Traumatic Brain Injuries (TBI), Acquired Brain Injuries (ABI), Spinal Cord Injuries, and other neurological disorders.

The Case Manager plays an essential role in coordinating resident care, managing insurance authorizations, facilitating discharge planning, and ensuring residents receive the services and resources necessary to support their rehabilitation goals.

We are looking for a proactive professional with strong communication, organizational, and problem-solving skills who can effectively coordinate care while advocating for residents and their families.

Essential Duties & Responsibilities

Case Management & Care Coordination

• Conduct assessments and evaluations to identify residents' needs, goals, and appropriate services.
• Develop, implement, and monitor individualized treatment and case management plans.
• Coordinate and oversee the delivery of healthcare, rehabilitation, and supportive services.
• Collaborate with physicians, nursing staff, therapists, insurance representatives, families, and external service providers.
• Advocate for residents' needs, rights, and access to appropriate services.
• Monitor resident progress and coordinate interventions to address barriers to care.
• Participate in interdisciplinary team meetings and care planning conferences.

Insurance Authorizations & Utilization Management

• Coordinate initial, continued-stay, and ongoing insurance authorizations for rehabilitation services.
• Submit clinical documentation and supporting information to insurance companies to obtain and maintain authorization for services.
• Monitor authorization dates, benefit limitations, and insurance coverage to prevent interruptions in care.
• Communicate with insurance case managers, utilization review departments, and managed care organizations.
• Assist with appeals and additional clinical documentation requests when necessary.
• Monitor approved lengths of stay and communicate authorization concerns to the interdisciplinary team.

Discharge Planning

• Initiate and coordinate discharge planning based on residents' individual needs and rehabilitation progress.
• Work with residents, families, caregivers, and community providers to develop safe and appropriate discharge plans.
• Identify and coordinate post-discharge services, equipment, resources, and community support.
• Facilitate transitions to home, assisted living, skilled nursing, or other appropriate care settings.
• Ensure necessary documentation, referrals, and follow-up arrangements are completed prior to discharge.
• Address barriers to discharge and collaborate with the interdisciplinary team to develop solutions.

Documentation & Compliance

• Maintain accurate, timely, and comprehensive case management documentation.
• Ensure compliance with facility policies, insurance requirements, and applicable regulatory standards.
• Track authorizations, discharge plans, resident progress, and other case management activities.
• Maintain effective communication with residents, families, healthcare professionals, and external agencies.

Qualifications & Requirements

• Previous experience in case management, healthcare, rehabilitation, or a related setting.
• Experience with insurance authorizations, utilization management, and discharge planning strongly preferred.
• Knowledge of healthcare insurance processes, managed care, and medical necessity requirements.
• Familiarity with community resources and post-acute care services.
• Excellent written and verbal communication skills.
• Strong organizational skills and attention to detail.
• Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment.
• Ability to work independently while collaborating effectively with an interdisciplinary team.
• Compassionate, resident-focused approach with strong advocacy skills.

Compensation & Benefits

• Competitive Pay: $24.00-$31.00 per hour, based on experience and qualifications.
• Full Medical Benefits.
• 401(k) Retirement Plan.
• Paid Vacation and Sick Leave.
• Supportive and collaborative work environment.
• Opportunities for professional growth and development.

About Neulife Rehabilitation of Florida

Neulife Rehabilitation of Florida is a specialized rehabilitation provider dedicated to helping individuals with neurological injuries and disorders regain independence and improve their quality of life.

Our interdisciplinary team is committed to delivering compassionate, individualized care and supporting residents throughout every stage of their rehabilitation journey.