Case Manager, Full Time Day

Kindred Hospital Melbourne; Melbourne (FL); On-site; USD 60,000 - 85,000; Full time

Job summary

Kindred Hospital Melbourne is seeking a Care Coordination professional to facilitate patient care across the continuum. The role partners with the ICT team to optimize resources, ensure compliant care, and support discharge planning.

Strong communication and regulatory knowledge are essential to success. Qualifications include a nursing or social work credential with 2+ years of healthcare experience, and proficiency in Microsoft Office.

Qualifications

• RN or LCSW/CSWCM required or in scope at hire.
• 2+ years healthcare experience with case management, utilization review, or discharge planning preferred.
• Knowledge of government and non-government payor practices and Medicare benefits.
• Ability to communicate effectively with providers, payors, and families.

Responsibilities

• Coordinate clinical and psycho-social activities with the Interdisciplinary Team and Physicians.
• Monitor patient stays for effective care coordination and resource utilization.
• Refer high-risk patients for additional support as needed.
• Act as patient advocate to help families make informed decisions.
• Participate in rounds and conferences to review goals and plan of care.

Skills

Interdisciplinary collaboration

English fluency

Microsoft Office

Communication skills

Education

Postsecondary nursing or social work credential

BSN/MSN/BSW/MSW degree

Tools

Microsoft Word

Excel

Job description

Description

Kindred Hospital Melbourne and Acute Rehabilitation Unit (ARU) is 58-bed hospital offering the same in depth care you would receive in a traditional hospital, but for an extended recovery period. With 47 long-term acute care(LTAC) hospital beds, we partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. Similarly, our 11-bed ARU is designed for people who have experienced the debilitating effects of an acute injury, impairment or illness. Located off of NASA Boulevard on the outskirts of downtown Melbourne, we are less than two miles from the shores of the Indian River and plenty of shops and restaurants.

Job Summary

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions

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, communityresources, 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. Enhances a collaborative relationship to maximize the patient’s andfamily’s ability to make informed decisions.
• Demonstrates knowledge of the principles of growth and development over the life span and the skillsnecessary to provide age appropriate care to the patient population served.
• Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimizeresource utilization, provide family education and identified post hospital needs. Collaborates with clinicalstaff in the development and execution of the plan of care, and achievement of goals.
• 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 andreimbursement.
• 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 spreadsheetsoftware.
• Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtaincooperation/collaboration from hospital leadership, as well as physicians, payors and other externalcustomers
• Demonstrates good interpersonal skills when working or interacting with patients, their families and otherstaff 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.

Qualifications

Education

• Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required) And
• Bachelor’s Degree in nursing or social work: BSN, MSN, BSW or MSW (Preferred)

Licenses/Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of practice Upon Hire (Required) Or
• LCSW- License Clinical Social Worker LCSW or LSW Upon Hire (Required) Or
• CSWCM - Social Work Case Manager Certification Upon Hire (Preferred)

Experience

• 2+ years experience in healthcare setting (Required) And
• Prior Experience in case management, utilization review, or discharge planning (Preferred)