Select Medical

  • Case Manager - Per Diem (Weekends) - RN or LCSW

    Job ID
    73375
    Location
    US-CA-Los Angeles
    Experience (Years)
    2
    Category
    Clinical - Case Manager
    Street Address
    2070 Century Park East
    Company
    California Rehabilitation Institute
    Position Type
    Per Diem
  • Overview

     California Rehabilitation Institute

    Case Manager - Registered Nurse (RN)

     

    **A Joint Venture with Cedars Sinai, UCLA and Select Medical**

     

     

    At California Rehabilitation Institute our services have been designed for patients who need a longer rehabilitation hospitalization for their recovery. We are currently seeking a Case Manager to join our team. 

     

    At California Rehabilitation Institute, our employees are the foundation on which the success of our rehabilitation services continues to grow. Each member of our medical, clinical administrative and support teams bring a level of experience, expertise and commitment to patient care that is unmatched in our industry. 

     

    Responsibilities

    Position Summary

    The Case Manager 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. 

     

    1. 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, as well as the supervision of clinical interventions that may become critical to the development and implementation of the discharge plan. Provides social work assessment and intervention as part of the discharge care planning process. The Case Manager, RN participates as part of the interdisciplinary team developing, implementing, reviewing and revising the interdisciplinary plan of care. 
    2. 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. 
    3. 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. 
    4. Responsible for attending education/in-servicing on current trends in case management, policies and procedures of the Institute, and changes in governmental, regulatory, and accrediting agencies to ensure compliance with standards of practice. 
    5. Carries a patient caseload. 
    6. Assures personal compliance with departmental documentation and timeliness of the same, i.e.: initial assessments, advanced directives, team conference reports. Conducts chart audits on a regular basis to maintain compliance, as requested by manager. 
    7. Develops and maintains updated departmental community resources materials and patient education materials. Responsible for keeping abreast of current information regarding entitlement programs patients may need to utilize. 
    8. Identification of inter-department and intra-department performance improvement projects, and carrying out of same. 
    9. 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. 
    10. 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. 
    11. Performs all other duties as requested.

    Qualifications

    As a Case Manager, you must be able to deliver superior quality in all that you do. We are seeking results-driven team players who treat patients as if they were their own family members. Qualified candidates must be passionate about providing a superior quality of care. You must also be a resourceful problem solver who thrives in a fast-paced environment.

     

    Other requirements of the Case Manager role include: 

     

    • Nursing Degree or Masters in Social Work required.
    • Current state licensure as a Registered Nurse or LCSW required.
    • Previous experience in case management or related area required.

    Additional Data

    At California Rehabilitation Institute, our intense focus on high-quality results creates a challenging, fast-paced and extremely rewarding environment. We offer a comprehensive benefits package with a variety of options to meet your healthcare needs.

     

    Other benefits of a Full Time Case Manager position include:

     

    • Excellent Orientation Program
    • Paid Time Off (PTO)
    • Extended Illness Days (EID)
    • Health, Dental, and Vision Insurance
    • Prescription Coverage
    • Life Insurance
    • Short- and Long-Term Disability
    • Continuing Education and Tuition Reimbursement
    • 401(k) Retirement Plan
    • Personal and Family Medical Leave
    • Join the network of over 40,000 employees with huge growth and relocation opportunities