A Clinical Case Manager coordinates medical care and provides advocacy to help people get the best and most affordable care. Helps patients navigate insurance and hospital bureaucracies and access information. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment and travel to different doctors' offices, hospitals or a patient's home.
The Case Manager, in collaboration with the physician, provides individual program management for each patient to ensure the patient's progression through the continuum of care in a manner that achieves the desired clinical and financial outcomes. Monitors and manages clinical and financial coordination of treatment plan of assigned patients to ensure timely, cost-effective, individualized service delivery. Works with rehabilitation patients with various disabilities including, but not limited to: spinal cord injury, brain injury, cerebrovascular accident, amputation, neurologic disorders, orthopedic conditions, and arthritis. Coordinates length of stay management within Medicare (CMS) guidelines and 60% compliance threshold. Provides community resources as appropriate including vocational rehabilitation resources.
Pay:
Rate of pay is based on years of experience and qualifications.
Minimum Qualifications:
Current state licensure as a
Registered Nurse or Licensed Social Worker Desired Qualifications:
2 years experience in a hospital setting preferred. Certification in case management preferred.
Knowledge, Skills and Ability Requirements:
Excellent communication, negotiation, and conflict resolution skills required. Knowledge of reimbursement systems preferred. Excellent verbal and written communication skills Strong organizational, time management and prioritization skills Strong analytical and critical thinking skills Detail-oriented, able to meet strict time frames Join our team and you will experience a total rewards package to support your health, life, career and retirement including: A supportive and collaborative work environment Opportunities to progress in function, skill, and pay A competitive wage scale A comprehensive health and wellness package including medical, dental, and prescription drug coverage We offer a benefits package that will best suit your family's needs. You can choose from a variety of medical coverage plans that best fit your lifestyle. You also have the option to enroll in additional perks such as 401k, life insurance, and disability plans. Tulsa Rehabilitation Hospital is an EEO employer - M/F/Vets/Disabled
