Lead Case Manager
2 weeks ago
Kindred Hospital Ontario is seeking a skilled Lead Case Manager to join our team.
Job Summary
We are looking for a highly experienced and detail-oriented Lead Case Manager to provide leadership for our case management team and assist with the daily operational oversight of the Case Management and Utilization Management activities in our hospital.
Responsibilities
- Care Coordination
- Serves as a subject matter expert in the daily coordination of patient care to facilitate development, monitoring, and refinement of treatment plans.
- Coordinates clinical and/or psychosocial activities with the Interdisciplinary Team and Physicians.
- Monitors all areas of patients' stays 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.
- Discharge Planning
- Conducts comprehensive, ongoing assessments of patients to provide timely and safe discharge planning.
- Provides comprehensive discharge planning for each patient, utilizing critical thinking to develop and execute effective discharge planning.
- Coordinates and communicates with patient/family efficiently and effectively.
- Utilization Management
- Conducts medical necessity reviews 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 payors.
Qualifications
- Graduate of an accredited program required; BSN preferred.
- Master of Social Work with licensure as required by state regulations.
- Bachelor of Social Work with licensure as required by state regulations.
- 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 preferred.
- Two years of experience in a healthcare setting preferred, preferably acute or LTACH.
- Prefer prior experience in Case Management, Utilization Review, or Discharge Planning.
What We Offer
- A competitive salary and benefits package.
- A collaborative and supportive work environment.
- Opportunities for professional growth and development.
How to Apply
If you are a motivated and detail-oriented individual who is passionate about providing exceptional patient care, please submit your application to join our team.
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