Case Manager (CM) - Registered Nurse (RN) or Licensed Clinical Social (LCSW) - FT

Overview

California Rehab Institute

*A partnership between Cedars-Sinai, UCLA Health and Select Medical*

Century City / Los Angeles, CA

Case Manager (CM) - Full Time (on-site)

Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW)

Pay Rate: $50 - $58.65 depends on experience

Case Managers at Cal Rehab have an average case load of 15-20 patients, caseload may vary based on experience and ability. Our Case Managers help with discharge planning and work with an interdisciplinary team. Patient at Cal Rehab have a high discharge to home rate.

Benefits of working as a Case Manager with us:

• Excellent Orientation Program
• Paid Time Off (PTO)
• Extended Illness Days (EID)
• Medical, Dental, and Vision Insurance
• Prescription Coverage
• Life Insurance
• Short and long term disability
• 401(k) Retirement Plan with company match
• Tuition Reimbursement
• A network of over 50,000 employees with huge growth and relocation opportunities

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.

Responsibilities

• 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 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 Qualifications

• Current licensure in a clinical discipline per state guidelines (RN, LCSW preferred).
• Previous experience in Case Management and Discharge Planning preferred.
• CCM Certification Preferred.

Additional Data

California Rehabilitation Institute a 138-bed facility offers patients a higher degree of excellence in medical rehabilitation. Each patient has their own room and receives our customized treatment plans based on their individual medical and therapy needs as they recover from:

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

Select Medical is an organization that is passionate about safety for our patients and our team members. The Inpatient Rehabilitation Division conducts post-offer employment testing (POET) for a number of job titles including, but not limited to:

• Rehabilitation Assistant/Nursing Assistant
• Nurse
• Physical, Occupational and Speech Therapy
• Environmental Services

POETS are completed as part of the onboarding process-to be completed before an employee’s first day of work.

**Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

Salary : $50 - $59