Case Manager II PRN

ScionHealth; Dallas (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

ScionHealth's Dallas Central LTACH/ARU seeks a Care Coordinator to support patient management across the continuum of care. You will collaborate with the Interdisciplinary Care Transitions team to ensure efficient resource use and high quality discharge planning.

You will assess patient needs, facilitate care plans, and communicate with physicians, families, and payors to optimize outcomes and satisfaction. Fluent English and strong organizational skills are essential.

Qualifications

• 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.
• Ability to demonstrate critical thinking, prioritization and time management skills.
• Basic computer skills with Microsoft Office and word-processing/spreadsheet software.
• Excellent interpersonal, verbal and written communication to coordinate with leadership, physicians, payors and others.
• Must read, write and speak fluent English.
• Two years of healthcare experience preferred; case management, utilization review or discharge planning experience preferred.

Responsibilities

• Coordinate clinical and psycho-social activities with the Interdisciplinary Team and Physicians.
• Monitor patient stays for effective care coordination and efficient care facilitation.
• Refer high-risk patients who would benefit from additional support.
• Serve as a patient advocate and collaborate with families for informed decisions.
• Participate in interdisciplinary patient care rounds to review goals and resource use.
• Coordinate with payors and post-acute providers in discharge planning.

Skills

Interdisciplinary collaboration

Critical thinking

Time management

Microsoft Office

Communication skills

Fluent English

Education

RN with accredited program graduate; BSN preferred; MSW/BSW with licensure as required

Job description

Description

Kindred Hospital Dallas Central and Acute Rehabilitation Unit (ARU) provide specialized care for patients with complex medical needs. Our long-term acute care hospital (LTACH) offers advanced, hospital-level treatment for chronically and critically ill patients requiring extended stays. In addition, our Acute Rehabilitation Unit is dedicated to helping patients recover from the effects of acute injuries, impairments, or illnesses. With a focus on personalized care, both the LTACH and ARU collaborate with your physician to provide 24/7 clinical care, ensuring continuous support on your path to recovery.

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.