Case Manager (CM) Rehabilitation

Facility Name: Valley View Medical Center

Your experience matters 

Lifepoint Rehabilitation is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Manager (CM) Rehabilitation joining our team, you’re embracing a vital mission dedicated to making communities healthier ^®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you’ll contribute 

A Case Management (CM) Rehabilitation who excels in this role:

• Provide ongoing support and expertise through comprehensive assessment, care coordination, plan implementation and overall evaluation of individual patient needs while ensuring patient preferences.
• Serve as patient advocate through resource utilization, discharge planning, and addressing the holistic needs of the patient.
• Provide care coordination including needs assessment and identification of care options, communication with patients and families in an interdisciplinary environment consistent with the position’s qualifications, professional practices and ethical standards.
• Assist with departmental specific performance improvement initiatives, collecting and reporting data as requested by supervisor.
• Consult other departmental staff to collaborate in patient care delivery, identify barriers to care and/or discharge and develop solutions/resolutions.
• Complete documentation per workflow timeline and content requirements including completion of Individual Plan of Care (IPoC) per CMS guidelines. 
• Schedule family conferences and/or communicate with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provide appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge.
• Coordinate weekly patient care team conferences to facilitate development, monitoring and refinement of treatment plans to achieve identified patient goals and outcomes.
• Review the patient assigned CMG and help the team identify any potential missed comorbid conditions that are actively being treated during the patient’s stay. Communicate any findings to the HIM team.
• Communicate effectively with nursing, therapy, and other ancillary departments to ensure proper utilization.
• If there is no Lead Case Manager, the CM participates as the facility representative for national CM Conference calls and communicate new information to the facility CMs.
• Assist with concurrent and retrospective utilization review activities including denials and appeals.  
• Work with physicians to conduct peer review with payer medical director when indicated.
• Ensure clinical updates are provided to all insurance payers when due, and all payer communications are documented in Meditech.
• Coordinate discharge planning needs including but not limited to; home health services, physician follow up care, durable medical equipment, medical supplies, healthcare services, outpatient therapy, dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc.
• Responsible for coordinating all patient care needs prior to discharge ensuring safe thorough discharge plan.
• Ensure patient choice is offered and documented as per CMS’ Conditions of Participation for Discharge Planning.
• Identify trends that impact the quality, cost effectiveness, patient experience and delivery of care services, and brings to departmental leadership meetings for discussion and action.
• Performs intake assessment on patients within 24 to 72 hours of admission, preferably within 48 hours.
• Perform follow-up assessment per Case Management Plan and/or hospital policy.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: 

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we’re looking for 

Applicants should have a bachelor’s degree. Additional requirements include:

• Current Registered Nurse or Social Work Licensure or Healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist. 

• Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) Certification; American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g. RN-BC

• Minimum of two (2) years social work or case management experience in an inpatient setting highly preferred; acute/rehabilitation hospital experience preferred.
   

Connect with a Recruiter 
Not ready to complete an application, or have questions? Please contact Dian Rezendes by emailing [email protected].

EEOC Statement

“Lifepoint Rehabilitation is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”