Case Manager ( RN / RT / SW / LPN )

As a Case Manager at Select Specialty Hospital in Natrona Heights, your primary responsibilities include developing patient-specific discharge plans, performing utilization reviews, and managing treatment plans. You'll coordinate closely with physicians and multidisciplinary teams to ensure optimal care for critically ill patients, while also overseeing financial aspects like reimbursement and resource management. Your goal will be to foster a collaborative environment focused on patient recovery.

To qualify for the Case Manager position at Select Specialty Hospital, candidates must hold a current clinical licensure in nursing, respiratory therapy, or medical social work. Additionally, experience in a critical care inpatient setting is necessary, with a strong preference for those who have worked in discharge planning or care management. Knowledge of the insurance industry and government reimbursement processes is also beneficial for success in this role.

A Case Manager at Select Specialty Hospital can enjoy a comprehensive benefits package that includes health, dental, and vision insurance, paid time off, and a 401(k) retirement plan with company matching. The role also offers an extensive orientation program, opportunities for professional growth, and a supportive work-life balance with a Monday through Friday schedule.

Yes, selecting a Case Manager with prior experience in critical care is essential as it equips them with the knowledge and skills needed to assist patients effectively. Experience dealing with acute care patients in settings such as ICUs or step-down units will provide invaluable insight into the complexities of patient needs and care management.

A Case Manager at Select Specialty Hospital plays a vital role in ensuring patients receive comprehensive care by developing and implementing tailored discharge plans. They facilitate multi-disciplinary team meetings, collaborate with various healthcare professionals, and prioritize patient-centered care to promote both quality of life and healing.

To effectively prioritize tasks as a Case Manager, it's important to assess patient needs, criticality of cases, and impending discharge dates. Utilizing a systematic approach such as categorizing tasks by urgency and importance can help ensure that the most immediate patient care needs are addressed promptly.

When discussing a challenging case, focus on a specific situation where you utilized your clinical judgment and problem-solving skills. Highlight how you assessed the patient’s needs, collaborated with healthcare teams, and adapted your strategy to improve outcomes, ensuring a positive resolution by the end of the process.

Effective communication is built on empathy, active listening, and clarity. I approach conversations with patience, ensuring that I address any concerns and provide thorough explanations. Utilizing non-technical language and visual aids, when necessary, helps engage families in the care process.

Staying updated with healthcare regulations is crucial. I regularly participate in training sessions, attend webinars, and subscribe to pertinent health journals. Networking with professionals in the field helps, as does being engaged in professional organizations that focus on case management and healthcare policies.

Documentation is critical in case management as it provides a comprehensive record of patient care plans, necessary communications, and the rationale for decisions made. Keeping accurate and thorough documentation not only aids in effective communication among the healthcare team but also supports utilization reviews and reimbursement processes.

For complex cases, I conduct a thorough assessment early in the admission process to identify potential discharge challenges. Collaborating with the healthcare team and involving patients and their families in discussions helps develop a realistic and comprehensive discharge plan tailored to their specific needs.

To negotiate effectively with insurance providers, I ensure that I have comprehensive documentation to justify the medical necessity of services. Establishing open communication with insurance representatives and understanding their criteria leads to a more fruitful negotiation, while a focus on patient advocacy remains a top priority.

When conflicts arise within a multi-disciplinary team, I prioritize open communication and active listening to understand all perspectives. Facilitating discussions focused on the patient's best interest fosters collaboration, and establishing a consensus aids in moving forward effectively.

Ensuring compliance starts with a thorough understanding of the facility's policies and guidelines. Regular training and consultation with peers, along with routine audits of documentation, helps identify areas for improvement while keeping me informed about facility changes.

The effectiveness of my case management can be measured through patient satisfaction surveys, readmission rates, and successful discharge outcomes. Continuous feedback from patients, families, and team members contributes to improvements and adaptations in my case management practices.