Case Manager Per Diem

Kindred Hospital Baldwin Park; Baldwin Park (CA); On-site; USD 62,350 - 79,074; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k)

Paid Time Off

Job summary

A healthcare facility in Baldwin Park is seeking a patient care coordinator to enhance the quality of patient management and ensure effective utilization of resources. Responsibilities include monitoring patient care, conducting assessments for discharge planning, and collaborating with interdisciplinary teams. The ideal candidate will have a healthcare professional license as an RN or LCSW, with preferred experience in case management. Offers a competitive pay range of $45.26 to $57.40 per hour and a comprehensive benefits package.

Qualifications

• Must have healthcare professional licensure as Registered Nurse or required equivalent.
• Two years of experience in a healthcare setting preferred.

Responsibilities

• Coordinates patient care through effective collaboration with care team.
• Conducts ongoing patient assessment for timely discharge planning.
• Monitors service utilization from admission through discharge.

Skills

Knowledge of Medicare benefits

Interpersonal skills

Critical thinking

Time management skills

Basic computer skills

Education

Graduate of an accredited program for RN

BSN preferred

Tools

Microsoft Office

Job description

Description

Kindred Hospital Baldwin Park helps patients return to the lives they love. At our 91‑bed hospital, our physician‑led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it – empowering them to take the next step in their recovery journey. We also offer an eight‑bed ICU and three negative‑pressure rooms for treating particularly serious conditions. We are located near the I‑605 and I‑10 intersection in Baldwin Park with a number of shops and restaurants nearby for added 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, 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. Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.
• Demonstrates knowledge 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 to review treatment goals, optimize resource utilization, provide family education and identify post‑hospital needs. Collaborates with clinical staff 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.

Discharge Planning

• Conducts comprehensive, ongoing assessment of patients to provide timely and safe discharge planning.
• Provides comprehensive discharge planning for each patient. Utilizes critical thinking to develop and execute effective discharge planning.
• Coordinates and communicates with patient/family efficiently and effectively.

Utilization Management

• Conducts medical necessity review for appropriate utilization of services from admission through discharge.
• Promotes effective and efficient utilization of clinical resources.
• Conducts timely and accurate clinical reviews, care collaboration and coordination of continued stay authorization with payor.

Other

• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
• Serves on Hospital and Division committees when requested.

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.
• Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
• 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.
• 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.

Pay Range: $45.26 - $57.40/Hr

ScionHealth has a comprehensive benefits package for benefit‑eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

Qualifications

Education

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

Licenses/Certifications

• 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.