LE1000 Shepherd Center, Inc. - Atlanta, GA

posted 26 days ago

Full-time - Mid Level
Atlanta, GA

About the position

The Case Manager at Shepherd Center plays a crucial role within an interdisciplinary team, facilitating patient care throughout the continuum of care. This position is responsible for ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation, all while advocating for patients and their families. The Case Manager is accountable for assessing, planning, implementing, evaluating, and communicating the patient care plan progression, aiming to achieve quality clinical, financial, and patient satisfaction outcomes.

Responsibilities

  • Support advocacy for patients and their families by promoting high standards of patient care.
  • Work closely with clinic physicians to address patient issues such as therapy goals and financial status.
  • Develop a mutually acceptable plan of care with patients and families to maximize their potential.
  • Bridge communication between providers, patients, families, and outside agencies to ensure high-quality care.
  • Coordinate physician orders to outside suppliers, including home health and durable medical equipment.
  • Collaborate with supervisory staff to ensure quality patient care within Shepherd Center's policies.
  • Promote a multidisciplinary approach to coordinate care and plan operations among disciplines.
  • Act as a resource for case manager associates and assist with problem-solving.
  • Manage requests for medication assistance and documentation in the outpatient case management office.
  • Provide education, guidance, and support post-discharge, focusing on medical, financial, and psychosocial needs.
  • Complete thorough and accurate documentation in electronic records.
  • Coordinate language services when interpretation needs arise in the clinic.
  • Maintain appropriate certification and knowledge of relevant regulations and standards.
  • Report employee/patient/visitor injuries or safety issues to the supervisor.
  • Monitor compliance with regulatory requirements and support problem resolution.

Requirements

  • Associate or Bachelor's degree in allied health, nursing, or related field, or appropriate state licensure.
  • Certification in Case Management within two years of position start date.
  • Minimum of two years broad clinical experience, preferably in care coordination and case management.
  • 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
  • Welcoming and fun workplace
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