Case Manager (RN or LSW) - Inpatient Rehab

Select Specialty Hospitals

Posted 1 week ago

Listing Type: Nursing
Employment Type: Nursing
Shift: Not Stated
Education Level: BSN Required
Certificates: Not Stated
Experience Level: All|Experienced
Compensation: NA

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Case Manager (RN or LSW) - Inpatient Rehab

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Position Type:  Per Diem

Category:  Clinical - Case Manager

Experience (Years):  1

Recruiting Manager:  Lauren McGrady

Recruiter Email Address:  LMMcgrady@kessler-rehab.com

Company:  Kessler Institute for Rehabilitation

Location:  US-NJ-Chester

Address:  201 Pleasant Hill Road
Chester, NJ 07930

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Overview

Kessler Institute for Rehabilitation – Chester Campus

  A Joint Venture with Select Medical

  

Case Manager (RN or LSW)

Location: Kessler Institute for Rehabilitation – Chester

201 Pleasant Hill Rd, Chester, NJ 07930

For more than six decades, Kessler Institute for Rehabilitation has pioneered the course of physical medicine and rehabilitation. Consistently named to America's Best Hospitals list by U.S. News & World Report, Kessler Institute for Rehabilitation has set the gold standard in rehabilitation and is ranked as the top rehabilitation hospital in the East. Leading-edge treatment programs, research and mentorship opportunities for our staff, hands-on environment, interdisciplinary team approach. Flexible scheduling, preceptorship, and model treatment programs.  

* This is a Per Diem position with available shifts during weekdays and weekends. 

Position Summary

The Case Manager (RN or LSW) is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans.  The Case Manager, assesses the social work needs of the patient and provides social work intervention as part of the discharge planning process. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer/Referral Management. 

Responsibilities

Specific Duties

Clinical Interventions/Discharge and Care Planning Management: Responsible for functioning as the liaison among all parties involved with the patient both within the hospital and in the community as it relates to the development and implementation of a safe and appropriate discharge plan. The Case Manager (RN or LSW) participates as part of the interdisciplinary team developing, implementing, reviewing and revising the interdisciplinary plan of care.
Fiscal Management: Assures responsiveness to payer systems by maintaining ongoing communication and serving as the primary contact for all external payer sources, in turn generating revenue, enhancing reimbursement, minimizing financial risk and assuring payment for the hospital. Maintains a thorough understanding of insurance coverage and benefits, providing interpretation to patients/families of their insurance and providing patient advocacy as needed.
Payer/Referral Management: Identifies and fulfills the requirements and needs of payer and referral sources, overseeing negotiations of continued stay rationale, length of stays, and appeals process. Initiates activities to develop positive business relationships with payers and referral sources in order to promote repeat business and represent the hospital as a quality institution.
Carries a patient caseload.
Coordinates with other departments, i.e.: Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management outcomes for the patient.
Is responsible for developing and maintaining effective interdisciplinary working relationships with other clinical treatment team members, i.e.: medical, psychology, nursing, therapy, therapeutic recreation, vocational and dietary, in order to assure clinical outcomes that are appropriate, cost-effective, and beneficial to the patient.

Qualifications

Minimum Education & Experience (Including Licenses)

BSN in Nursing or LSW required.
If RN - Current state licensure as a Registered Nurse required.
Previous experience in case management or related area required.

Additional Information

Overview of Kessler / Select Medical Inpatient Rehabilitation Hospitals

Kessler's / Select Medical’s Inpatient Rehabilitation Hospitals provide advanced treatment and comprehensive care to best address the medical, physical, emotional and vocational challenges for individuals with:

Brain Injury
Spinal Cord Injury
Stroke
Amputation
Neurological Disorders
Orthopedic Conditions
Multiple Traumas

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