Case Manager (CM) - Registered Nurse (RN) or LCSW - Per Diem

SSM Health; Los Angeles (CA); On-site; USD 80,000 - 100,000; Part time

Job summary

An established industry player in rehabilitation is seeking a dedicated Case Manager to enhance patient recovery through effective care coordination. In this rewarding role, you will manage clinical interventions and discharge planning while collaborating with a multidisciplinary team to ensure optimal patient outcomes. You'll have the opportunity to impact lives positively, working in a supportive environment that values teamwork and professional growth. Join a network of over 50,000 employees nationwide and be part of a mission-driven organization committed to providing high-quality rehabilitation services.

Benefits

Manageable case loads

Impact on patient's recovery

Team-oriented culture

Advancement opportunities

Qualifications

• Current licensure in Social Work or Nursing (RN) is required.
• Experience in case management or related field is necessary.

Responsibilities

• Coordinate healthcare decisions to improve patient outcomes.
• Develop and implement safe discharge plans for patients.
• Communicate with external payers to ensure financial coverage.

Skills

Case Management

Clinical Interventions

Discharge Planning

Fiscal Management

Patient Advocacy

Education

Masters Degree in Social Work

BSN in Nursing

Job description

Overview

California Rehabilitation Institute

*A Joint Venture with Cedars, UCLA and Select Medical*

Century City / Los Angeles, CA

Case Manager (CM) - Registered Nurse (RN) or Social Worker (LCSW)

Per Diem

Pay Rate: $66.00

Benefits of becoming a Case Manager with us:

• Manageable case loads
• Impact on patient's recovery process and quality of life
• High success rate of patients being discharged home
• Competitive rates
• Team-oriented culture
• A network of over 50,000 employees nationwide with advancement and relocation opportunities

Position Summary

The Case Manager is responsible for coordinating healthcare decisions using a systematic approach to ensure treatment plans that improve quality and outcomes. This includes care coordination across the continuum, promoting cost-effective care within designated timeframes, ensuring hospital-based services meet patient utilization management criteria, and implementing safe discharge plans. The Case Manager assesses social work needs and provides interventions as part of discharge planning.

Responsibilities

• Clinical Interventions/Discharge and Care Planning Management: Acts as liaison among all parties involved with the patient within the hospital and community to develop and implement safe and appropriate discharge plans. Participates in developing, implementing, reviewing, and revising the interdisciplinary care plan.
• Fiscal Management: Maintains responsiveness to payer systems by communicating with external payers, generating revenue, enhancing reimbursement, minimizing financial risks, and ensuring payment for hospital services. Interprets insurance coverage and benefits for patients and advocates as needed.
• Payer/Referral Management: Fulfills payer and referral needs, oversees negotiations regarding stay rationale, duration, and appeals, and develops positive relationships with payers and referral sources to promote hospital reputation and business.
• Coordinates with departments such as Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS, etc., to achieve positive fiscal outcomes.
• Develops and maintains effective interdisciplinary relationships with medical, nursing, therapy, psychological, dietary, and vocational team members to ensure appropriate, cost-effective clinical outcomes.

Minimum Qualifications

• Current and valid state licensure in Social Work or Nursing (RN).
• Masters Degree in Social Work or BSN in Nursing preferred.
• Experience in case management or related field required.
• CCM Certification preferred.

Additional Data

California Rehabilitation Institute, a 138-bed facility, provides specialized medical rehabilitation for conditions such as brain injury, spinal cord injury, stroke, amputation, neurological disorders, orthopedic conditions, and multiple traumas. Each patient receives personalized treatment plans based on their medical and therapy needs.

Select Medical emphasizes safety and conducts post-offer employment testing (POET) for various roles, including nursing, therapy, and environmental services, to be completed before employment begins.

We are committed to diversity and equal opportunity employment, considering all qualified applicants without discrimination based on protected characteristics.