Case Manager PRN

Kindred; Dayton (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

ScionHealth in Dayton, OH is seeking a dedicated care coordinator to oversee patient care across the continuum. You will collaborate with the ICT team and interdisciplinary staff to optimize resource use and ensure high-quality, cost-effective care.

The role requires strong communication skills, clinical knowledge in nursing or social work, and the ability to advocate for patients through complex discharge planning and post-acute coordination.

Qualifications

• Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
• Knowledge of Medicare benefits and insurance contracts/processes.
• Ability to demonstrate critical thinking, prioritization and time management skills.
• Must read, write and speak fluent English.
• Excellent interpersonal, verbal and written communication to collaborate with hospital leadership, physicians and payors.

Responsibilities

• Coordinate clinical and psycho-social activities with the Interdisciplinary Team and Physicians.
• Monitor patients’ stay for effective care coordination and resource utilization.
• Discharge planning with timely and safe transitions.
• Participate in interdisciplinary rounds to review goals and educate families.
• Collaborate with staff to develop and execute the plan of care.
• Refer high-risk patients for additional support and advocacy.

Skills

Payor regulations

Medicare knowledge

Critical thinking

Time management

Interpersonal communication

Fluent English

Education

Postsecondary nursing or social work program

BSN/MSN/BSW/MSW preferred

Tools

EHR systems

Microsoft Office

Job description

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

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 identified 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.
• Provide comprehensive discharge planning for each patient.
• Utilizes critical thinking to develop and execute effective discharge planning.
• Coordinate and communicates with patient/family efficient 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.

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)