Case Manager II- FT Days

ScionHealth; Greensboro, Northern (NC, KY); Hybrid; USD 75,000 - 95,000; Full time

Job summary

Kindred Hospital Greensboro is seeking a qualified Care Coordinator to support the Interdisciplinary Care Transitions team. This role focuses on coordinating clinical and psycho-social care, monitoring patient stays, and optimizing resource use to ensure seamless care across the continuum in a 101-bed long-term acute care setting.

Candidates should have RN licensure with BSN preferred or MSW/BSW licensure, plus 2+ years of healthcare experience, and strong communication skills in English.

Qualifications

• RN licensure required; BSN preferred or MSW/BSW with licensure
• Two years of healthcare experience preferred
• Experience in case management, utilization review, or discharge planning preferred

Responsibilities

• Coordinates clinical and psycho-social activities with the Interdisciplinary Team and Physicians.
• Monitors patient stay for effective care coordination and resource utilization.
• Keeps current on reimbursement practices, community resources, and compliance.
• Refers high risk patients for additional support.
• Acts as patient advocate and collaborates with families for informed decisions.
• Applies age-appropriate care across the life span.
• Participates in rounds to review goals and plan care with the team.
• Coordinates care with payors and post-acute providers across the continuum.

Skills

Care coordination

Interdisciplinary team

Communication

Time management

Fluent English

Education

RN (BSN preferred)

MSW/BSW licensure

Job description

Description

Kindred Hospital Greensboro is a 101-bed long-term acute care hospital treating chronically, critically ill patients who require an extended stay in a hospital setting with individualized care plans. We offer a 6-bed ICU and seven negative pressure rooms. We are accessible via I-85 expressway, nestled between Clinton Heights and Lincoln Heights Neighborhoods for your convenience.

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 otherexternalcustomers
• 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

• Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations

Licenses/Certification

• 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.

Experience

• Two years of experience in a healthcare setting preferred.
• Prefer prior experience in case management, utilization review, or discharge planning.