Case Manager I PRN

Socket.dev; El Paso (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Kindred Hospital El Paso is seeking a Care Coordination professional to facilitate patient care across the continuum, coordinating with the ICT team and physicians. The role emphasizes advocacy, resource utilization, and effective discharge planning to ensure high-quality, cost-conscious care.

Ideal candidates hold LPN/LVN or RN credentials, with licensure in social work preferred (MSW or BSW). Strong English and MS Office skills are required, plus experience in case management or utilization

Qualifications

• Knowledge of payor practices, regulations and reimbursement.
• Proficiency with Medicare benefits and insurance processes.
• Familiarity with accreditation standards and compliance.
• Fluent reading/writing/speaking English required.
• Strong MS Office, word processing and spreadsheet skills.

Responsibilities

• Coordinate clinical and psychosocial activities with Interdisciplinary Team and Physicians.
• Participate in interdisciplinary rounds and discharge planning.
• Advocate for patients and ensure optimal care transitions.
• Collaborate with staff to implement care plans and goals.
• Maintain knowledge of reimbursement and community resources.
• Refer high-risk patients for additional support.

Skills

Payor practices

Regulations

Standards

Reimbursement

Medicare benefits

Insurance processes

Fluent English

MS Office

Interpersonal skills

Verbal communication

Written communication

Education

LPN/LVN or RN

Master of Social Work (licensure)

Bachelor of Social Work (licensure)

Job description

Kindred Hospital El Paso is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive care and telemetry-level services, offering advanced monitoring and support for patients requiring extended medical care. With a multidisciplinary team dedicated to personalized treatment plans, we focus on helping patients achieve significant recovery and transition to the next level of care.

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

• Assist in coordinating clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
• Assists with 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.
• Knowledgeable 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.
• Collaborates with clinical staff in the execution of the plan of care, and achievement of goals.

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.
• Must read, write and speak fluent English.
• 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.
• Must have regular attendance.
• Approximate percent of time required to travel, 0%25.
• Performs other related duties as assigned.

Education

• Graduate of an accredited program required: LPN/LVN or RN.
• Master of Social Work with licensure as required by state regulations; or Bachelor of Social Work with licensure as required by state regulations.

Licenses/Certification

• Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.

Experience

• One year of experience in healthcare setting.
• Experience in case management, utilization review, or discharge planning a plus.