PD Case Manager
150 Flanders Road
Westborough, MA 01510 Case Manager - Per Diem
Pay: $40.00 Essential:
- Meet with every patient/family within 1 working day of admission to introduce case management and begin an assessment of potential discharge planning needs. Take into account patient’s age and developmental level, cultural and religious practices, language and emotional barriers, healthcare needs, financial situation and family/community support.
- Provide the patient and family information, in a form that they can understand, about the rehabilitation process, levels of care, homecare services, community resources and patient rights including Advance Directives.
- Attend all interdisciplinary team meetings (RTC, FTC, TTC) to collaborate with the healthcare team, patient and family to establish a treatment plan with realistic goals and a target date to achieve the goals. Identify variables that may influence the accomplishment of the goals. Continually evaluate the effectiveness of the plan and modify as needed.
- Collaborate with the healthcare team, patient and family for a timely discharge to the next level of care, when appropriate. Assist the team in identifying agencies or facilities that can meet the patient’s healthcare needs
- Make referrals to the next level of care and coordinate the transfer to maintain a continuation of services. Counsel with the patient/family and the payor to coordinate funding for the services. Obtain approval numbers from payor, if needed.
- Organize all referral paperwork needed to make discharge referral, review for completeness and fax (or have faxed) to the agency or facility that will continue to provide service.
- Maintain patient privacy and confidentiality at all times. Release only information authorized by the patient/responsible party, and only the specific information required.
- Case managers will act as utilization review coordinators.
- At each Rehab Team Conference (RTC) the patient’s level of care will be monitored, per UR plan.
- Refer any cases requiring medical judgment to a physician advisor.
- Maintain timely contact with external case managers and third party payors as required under “continued stay review” programs. Obtain approvals for continuation of the treatment plan. Advocate for services at an appropriate intensity to best meet the patient's needs.
- Notify members of the team and business office of any exclusions or level of care changes.
- Attend Utilization Review Committee meetings, as assigned.
- Keep patient and family informed of Utilization Review decisions and provide discharge planning options to meet patient care needs.
- Document all case management activities in the patient’s medical record, including notes related to conversations with patient/family, insurers and others in accordance with laws, regulations and hospital policy.
- Participate in hospital-wide or department specific performance improvement initiatives as assigned.
- Registered Nurse; with a minimum of 5 years varied nursing experience, preferably orthopedic, med-surg, geriatric or rehabilitation. Case management experience, preferred.
- Excellent communication (written and verbal), interpersonal and organization skills.
- Ability to assess, analyze, plan, implement and evaluate.
- Basic knowledge of insurance, including an understanding of eligibility, benefits and limitations.
- Knowledge of growth and development across the life span.
- Paid Sick Time
- 401k
Recommended Jobs
CNAs, HHAs, PCAs
Experienced Caregivers Wanted Located in Belmont, Always Best Care services the entire 128 belt and the Greater Boston area. At Always Best Care, our caregivers are the keystone of our business. This…
Sales & Client Support Specialist
Overview We are looking for a Sales & Client Support Specialist to assist clients with planning and booking travel while providing exceptional service throughout the sales process. This role blend…
Travel Services Support Specialist (Remote)
About the Role We are seeking reliable, detail-oriented individuals to assist clients with travel-related services in a fully remote support role. This opportunity offers flexibility and structu…
Internal Project Coordinator Consultant
Kforce has a client that is seeking an Internal Project Coordinator Consultant. The candidate must work 3 days a week onsite in Holyoke, MA. Summary: We are seeking a highly motivated, self-directed …
Occupational Therapist. School based 65 to 80 per hour Contract March to June
Occupational Therapist - School-Based Pay Rate: $65 to $80 per hour based on experience Job Type: Full time. March-June Boston Speech Therapy is seeking a dedicated Occupational Therapi…
Part-Time Leasing Professional - One Beachmont
ABOUT GREYSTAR Greystar is a leading, fully integrated global real estate platform offering expertise in property management, investment management, development, and construction services in ins…
Switch Assembler
About the Job OVERVIEW: Assemble switches according to specifications and prints. ESSENTIAL RESPONSIBILITIES: Assemble repetitive, routine production switches from material l…
RN Director - Surgical Services
Come and serve as the next DON of Surgical Services in beautiful Framingham, MA with a convenient location near Boston. Enjoy diverse food and shopping, mix of urban/suburban feel, parks, strong comm…
Transporter-3
Job Description Summary Under the direction of the Manager of Patient Transport and Visitor Services, the Patient Transporter will function within the guidelines of South Shore Health’s policies a…
Licensed Practical Nurse [LPN] | Travel LPN for LTC/SNF $2,050/week
Nationwide openings with fast starts in the North Eastern and North Western States. Responsibilities: Provide direct resident care Assist with ADLs, vitals, med passes Coordinate with RNs…