Outpatient Access Case Manager -SHARE Military initiative and Complex Concussion Clinic
Outpatient Access Case Manager -SHARE Military initiative and Complex Concussion Clinic
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Job Description
About Shepherd Center
With five decades of experience Shepherd Center provides worldclass clinical care research and family support for people experiencing the most complex conditions including spinal cord and brain injuries multitrauma traumatic amputations stroke multiple sclerosis and pain. An elite center ranked byU.S. Newsas one of the nations top hospitals for rehabilitation Shepherd Center is also recognized as both Spinal Cord Injury and Traumatic Brain Injury Model Systems. Shepherd is the only rehabilitation facility in the nation with an intensive care unit onsite allowing us to care for the most complex patients and begin the rehabilitation process sooner. Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again.
Shepherd Centers culture is one of hope humor and hard work. You will enjoy career growth strong relationships with coworkers strong support from leadership and fun activities that have kept over 12% of staff members working at Shepherd for more than 20 years.
The SHARE Military Initiative provides care for service members and first responders with brain injury and related physical and psychological health concerns.
The Complex Concussion clinic helps patients recover for concussions caused by sports falls car accidents and more.
The Access Case Manager represents Shepherd to the external community.
Establishes and maintains rapport with families and referral sources.
Participates with marketing for referral development and participates in community programs as identified by the program manager.
Supports patients and families in navigating the referral and admission process including but not limited to completing necessary paperwork and submitting requested medical documentation
Screens all medical records to make sure that the information is appropriate for admission to program based on the patients clinical presentation.
Assists Admissions Dept and/or Patient Access for followup on clinical verification when there is a gap in time from referral from clinic.
Screen orders both externally and from SC clinics or inpatient to ensure appropriateness of referrals. And to also determine if any Pathways OP referrals can be converted to Day Program referrals if appropriate and space allows.
Determine if a patient does not meet admissions criteria and refer patients to alternate programs based on telephone interview.
This position may tour potential patients and/or families as directed by the program manager.
Position may help support patients access to care at Shepherd Center. This may involve resource identification (transportation community resources etc) as well as physical and/or cognitive support to complete intake forms and compile records.
For SHARE this position supports securing housing at Shepherd and travel vouchers for clients in preparation for their admission.
Documents referral information to track referral trends and patterns for each program.
Required Minimum Education
Bachelors degree (allied health nursing or related field) or appropriate state licensure.
Required Minimum Certification
Certification in Case Management (Case Management Society of America American Case Management Association American Nurses Credentialing Center or equivalent certification within two years of position start date. Individuals hired prior to October 1 2022 are grandfathered in and must obtain their CCM or ACM within two years from October 1 2022.
Appropriate (PT OT SLP RN Licensed Social Worker Respiratory Therapist or Certified Recreational Therapist LPN) or appropriate advanced degree.
Required Minimum Experience
Minimum of two (2) years broad clinical experience. Experience in care coordination case management discharge planning and utilization review preferred.
Required Minimum Skills
Effectivetime management skills.
Excellent communication skills both verbal and written.
Effective decision making/problemsolving skills and creativity in problem solving.
Demonstrated effective critical thinking skills and ability to anticipate patient discharge needs.
Understanding of the interdisciplinary team approach and rehabilitation environment. As well as the OP medical clinics at Shepherd Center.
Moderate to expert computer skills.
Working knowledge of financial aspects of thirdparty payors and reimbursement
Preferred Qualifications
N/A
Physical Demands
Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time or exerting up to 15 pounds of force occasionally or a negligible amount of force frequently to lift carry push pull or otherwise move objects including the human body
WORKING CONDITIONS
Some potential for exposure to blood and body fluids.
Required Experience:
Manager
Employment Type
Full-Time
