Outpatient Access Case Manager -SHARE Military initiative and Complex Concussion Clinic Position Available In Fulton, Georgia

Tallo's Job Summary: The Outpatient Access Case Manager at Shepherd Center represents the organization to external referral sources and evaluates patients for admission to the SHARE Military Initiative and Complex Concussion Clinic. Responsibilities include establishing rapport with families, participating in marketing efforts, and assisting with the referral process. A Bachelor's degree and certification in Case Management are required, with a minimum of two years of clinical experience preferred. This role involves supporting patients' access to care, documenting referral information, and securing housing and travel arrangements for clients.

Company:
Unclassified
Salary:
JobFull-timeOnsite

Job Description

About Shepherd Center With five decades of experience, Shepherd Center provides world-class clinical care, research, and family support for people experiencing the most complex conditions, including spinal cord and brain injuries, multi-trauma, traumatic amputations, stroke, multiple sclerosis, and pain. An elite center ranked by U.S. News as one of the nation’s 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 on-site, 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 Center’s culture is one of hope, humor, and hard work. You will enjoy career growth, strong relationships with co-workers, strong support from leadership, and fun activities that have kept over 12% of staff members working at Shepherd for more than 20 years. The Outpatient Access Case Manager serves as a clinical representative and educator for Shepherd to external referral sources and evaluates the external patients as to the appropriateness of their admission to Shepherd Centers SHARE Military Initiative and Complex Concussion clinic. 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 follow-up 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
  • Bachelor’s 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
  • Effective time management skills.
  • Excellent communication skills, both verbal and written.
  • Effective decision making/problem-solving 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 third-party 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. Shepherd Center provides world-class clinical care, research, and family support for people experiencing the most complex conditions, including spinal cord and brain injuries, multi-trauma, traumatic amputations, stroke, multiple sclerosis, and pain. An elite center recognized as both Spinal Cord Injury and Traumatic Brain Injury Model Systems, Shepherd Center is ranked by U.S. News as one of the nation’s top hospitals for rehabilitation. Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again. Don’t see a specific job that interest you? Introduce yourself to our recruiters and we’ll get in touch if there’s a role that seems like a good match. We’re often recognized among the best employers and as a best place to work. Many of our staff have been here for decades. We have a culture of hope, humor, and hard work that helps patients achieve their highest levels of independence with dignity.

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