
Case Manager (CM) - RN or LCSW - FT - $7,500 Sign on
- Los Angeles, CA
- Permanent
- Full-time
- 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
- 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.
- Current licensure in a clinical discipline per state guidelines (RN, LCSW preferred).
- Previous experience in Case Management and Discharge Planning preferred.
- CCM Certification Preferred.
- Brain Injury
- Spinal Cord Injury
- Stroke
- Amputation
- Neurological Disorders
- Orthopedic Conditions
- Multiple Traumas
- Rehabilitation Assistant/Nursing Assistant
- Nurse
- Physical, Occupational and Speech Therapy
- Environmental Services