Case Manager Position Available In Middlesex, Massachusetts

Case Manager 3.9 3.9 out of 5 stars Framingham, MA 01701

DAY TO DAY:

The Case Manager is responsible for coordinating and managing patient care in an inpatient rehabilitation setting. This role involves working closely with patients, families, healthcare providers, and insurance companies to ensure that patients receive comprehensive and effective rehabilitation services. The Case Manager will develop individualized care plans, monitor patient progress, and facilitate communication among all parties involved in the patient’s care. They do a lot on the backend to make sure they are leaving with the tools and Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences. Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans. Participate in planning for and the execution of patient discharge experience.

Monitor patient experience:

quality/timeliness/service appropriateness/payors/expectations. Facilitate team conferences weekly and coordinate all treatment plan modifications. Complete case management addendums and all required documentation. Maintain knowledge of regulations/standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. Understand commercial contract levels, exclusions, payor requirements, and recertification needs. Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs. Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs of admission. Perform assessment of goals and complete case management addendum within 48 hours of admission. Educate patient/family on rehabilitation and Case Manager role; establish communication plan. Schedule and facilitate family conferences as needed. Assist patient with timely procuring/planning of resources to avoid discharge delays or issues. Monitor compliance with regulations for orthotics and prosthetics ordering and payment. Make appropriate/timely referrals, including documentation to post discharge providers/physicians. Ensure accuracy of discharge and payor-related information in the patient record.

Participate in utilization review process:

data collection, trend review, and resolution actions. Participate in case management on-call schedule as needed.

Job Type:

Full-time Pay:

$29.00 – $47.00 per hour Expected hours: 40 per week

Benefits:

Dental insurance Health insurance Vision insurance

Schedule:

5×8 Day shift Monday to Friday Ability to

Commute:

Framingham, MA 01701 (Required)

Work Location:

In person