Case Manager- Full-time

Central PA Neuro Transitional Center

Position: Case Manager (RN, LMSW)

Location: Harrisburg, PA

Schedule: Full time

Our Neuro Transitional Center provides a unique, comfortable environment designed to feel like home. It gives patients with physical, behavioral and cognitive impairments access to comprehensive therapy in multiple settings. Specialized therapists help transitional patients regain their independent living skills — with the goal of safely functioning in their home and community.

At our company, we support your career growth and personal well-being.

• Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
• Advance Your Career: Tuition reimbursement and continuing education opportunities
• Your Health Matters: Comprehensive medical/RX, health, vision, and dental plan offerings
• Recharge & Refresh: Generous PTO to maintain a healthy work-life balance
• Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection
• Your Impact Matters: Join a team of over 44,000 nationwide, committed to providing exceptional care

Serves as a primary point of contact to coordinate communication and collaboration within the transdisciplinary team, patient/family, central billing office, and external stakeholders. Monitors program delivery in collaboration with the transdisciplinary team to meet the patient's expected outcome and provide resource assistance as needed. Coordinates team and family conferences to review patient progress, problem-solve barriers, receive family input, and modify plans of care as needed. Oversees insurance continued stay authorizations, confirming reports are meaningful and reflective of patient progress, affirms insurance benefits are available and documented in EHR for timely and accurate service billing. Coordinates family training and oversees discharge planning, resource facilitation, and communication of follow-up services and appointments at discharge.

• Functions as the liaison and primary point of contact with all internal and external stakeholders involved with the patient from admission to discharge in order to achieve the predicted expected outcome and implement a safe, appropriate discharge plan.
• Focuses on developing positive business relationships with payers and referral sources to advocate for patient needs, promote repeat business and represent Neuro Transitional Rehabilitation (NTR) as a quality program.
• Facilitates team collaboration to ensure all domains are addressed in the plan of care with meaningful goals and updates as required according to policy. Responsible for the “patient and family understanding” domain within the plan of care and for assuring patient and family discharge needs are met. Addresses community referrals, medical and continued services referrals, emergency planning, financial resources, referrals, and family education to promote patient self-advocacy and independence.
• Participates as part of the transdisciplinary team, leading the team and family conferences to address progress, level of assistance required, and identify barriers and safety risks. Ensures plans and strategies are developed to overcome barriers to achieve the expected outcome.
• Completes the case manager intake at admission to identify patient needs and utilizes information as appropriate in developing the plan of care and discharge planning.
  
• Serves as a patient advocate, helping patients gain access to needed services by thoroughly understanding the ABI insurance laws (if applicable), research supporting transitional rehabilitation, insurance coverage, and benefits, including the ability to read insurance certificates of coverage to determine compliance. Leads the transdisciplinary team to develop quality insurance appeals in response to continued stay denials.
• Coordinates all physician appointments and integrates physician rehabilitation orders, ensuring all necessary information is available. Accompanies patients to and from appointments as needed. Responsible for communicating physician orders back to the team and family
• Perform other duties as requested.

Minimum Qualifications:

• Current licensure in a clinical discipline per state guidelines (RN, LMSW preferred).
• BLS certification through the American Heart Association required
• Current State Driver's License in good standing required

Preferred Qualifications:

• Bachelor's Degree + two years experience in case management and discharge planning or neurorehabilitation environment preferred; experience with acquired brain injury or spinal cord population preferred.
• CCM Certification Preferred.
• Ability to delegate and problem solve effectively.
• Efficient computer technology and software application skills preferred

Equal Opportunity Employer/including Disabled/Veterans