Shepherd Center - Atlanta, GA

posted 26 days ago

Full-time - Mid Level
Atlanta, GA
Ambulatory Health Care Services

About the position

The Case Manager at Shepherd Center plays a crucial role in facilitating patient care within an interdisciplinary team. This position is responsible for ensuring appropriate utilization management, care coordination, and clinical documentation throughout the continuum of care. The Case Manager advocates for patients and their families, promoting high standards of care and collaborating with various stakeholders to achieve optimal clinical, financial, and patient satisfaction outcomes.

Responsibilities

  • Supports advocacy for patients and their families by promoting high standards of patient care.
  • Works closely with clinic physicians to address patient issues as they arise in the clinic setting.
  • Develops a mutually acceptable plan of care with patients and families to maximize their potential.
  • Bridges communication between providers, patients, families, and outside agencies to ensure high-quality care.
  • Coordinates physician orders to outside suppliers, including home health and durable medical equipment.
  • Collaborates with supervisory staff to ensure quality patient care within Shepherd Center's policies.
  • Promotes a multidisciplinary approach to coordinate care and plan operations among disciplines.
  • Acts as a resource for case manager associates and assists with problem-solving.
  • Manages requests for medication assistance and documentation in the outpatient case management office.
  • Provides education, guidance, and support post-discharge, focusing on medical, financial, and psychosocial needs.
  • Completes thorough and accurate documentation in electronic records.
  • Coordinates language services when interpretation needs arise in the clinic.
  • Maintains knowledge of current relevant regulations and documentation requirements.

Requirements

  • Associate or Bachelor's degree in allied health, nursing, or related field, or appropriate state licensure.
  • Certification in Case Management (CCM, ACM, or equivalent) within two years of position start date.
  • Minimum of two years broad clinical experience, preferably in care coordination, case management, discharge planning, and utilization review.
  • Effective time management skills.
  • Excellent verbal and written communication skills.
  • Effective decision-making and problem-solving skills.
  • Demonstrated critical thinking skills and ability to anticipate patient discharge needs.
  • Understanding of the interdisciplinary team approach and rehabilitation environment.
  • Moderate to expert computer skills.
  • Working knowledge of financial aspects of third-party payors and reimbursement.

Benefits

  • Competitive compensation
  • Continuing education opportunities
  • Diverse and inclusive work environment
  • Career advancement opportunities
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