drjobs Case Manager (RN or Social Worker), Frazier Rehab Institute, PRN

Case Manager (RN or Social Worker), Frazier Rehab Institute, PRN

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1 Vacancy
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Job Location drjobs

Louisville, KY - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Primary Location:

Frazier Rehab Institute - UMC

Address:

220 Abraham Flexner Way Louisville KY 40202

Shift:

Rotating (United States of America)

Job Description Summary:

UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice locations more than 700 providers the Frazier Rehab Institute and Brown Cancer Center.
With more than 12000 team membersphysicians surgeons nurses pharmacists and other highly skilled health care professionalsUofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

Essential Functions:

Promotes optimal management of clinical resources by conducting timely initial admission assessments based on clinical indicators and anticipated service needs for appropriate level of hospital care; Validates patient demographics and payor source

  • Utilizes and contributes to the development of the multidisciplinary clinical assessment of patients on an on-going basis during the patients admission to ensure the quality and appropriateness of patient care

  • Implements reassesses and evaluates patient condition and coordinates plan of care daily; Develops patient specific plan of care based on the individual needs of the patients conversations with providers and other staff and documentation in electronic medical record (EMR.) Ensures updated plan of care is documented in the EMR

  • Coordinates the discharge needs of patients with necessary internal and external providers while protecting patient information

  • Performs timely professional and appropriate documentation as reflected in the Quality Review Audit process

  • Advocates for patient/family needs in a respectful non-judgmental and confidential manner

  • Serves as a liaison or facilitator for the patient and interdisciplinary healthcare team in the management of unusual or questions cases. Educates the healthcare team about the role of the RN: Case Manager. Is accessible to the healthcare team as a resource.

  • Appropriately refers cases to manager/director of care coordination CAO or medical director when intensity of service or severity of illness is not present and is unable to be resolved

  • Ensure delivery of Discharge Medicare Important Message (IM) and Medicare Outpatient Observation Notice (MOON) where applicable

  • Acknowledges addresses and completes are Consults to Case Management on respective units in EMR

Other Functions:

  • Works collaboratively with social workers to identify social and financial barriers and community resources

  • Completes referrals to Social Worker for patients with high-risk indicators

  • Attends monthly departmental staff communications meetings. Serves as an active member of committees as needed which may include a variety of projects or topics

  • Enhances professional growth and development through participation in educational programs reading current literature attending in-service meetings and workshops that are related to assigned areas of responsibility. Assumes responsibility of growth and development maintains competency in care management principles

  • Educates physicians patients and staff with regards to payors financial issues documentation and potential compliance issues

  • Serves as a resource to physicians for clinical management and financial issues. Assists the providers with promoting efficiencies in the care delivery system and reducing/ eliminating barriers to efficient/effective service

  • Maintains compliance with all company policies procedures and standards of conduct

  • Complies with HIPAA privacy and security requirements to maintain confidentiality at all times

  • Performs other duties as assigned

A Note on Required Qualifications:

If individual holds an AS in Nursing they must be actively pursing their Bachelors Degree in Nursing Business Health Care Administration or equivalent; Bachelors Degree completion is required within 3 years of date of hire.

UofL Health will accept a Nurse Licensure Compact (NLC) from the NCSBN in lieu of a Kentucky Nursing License per the KBN.

Additional Job Description:




Required Experience:

Manager

Employment Type

Part-Time

Company Industry

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