Case Manager

California Rehab Institute

*A Joint Venture with Cedars, UCLA, and Select Medical*

Century City / Los Angeles, CA 

Case Manager (CM) - Full Time (on-site) - 8 hr shifts

Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW)

Pay Rate: $50 - $58.65 depends on experience

**$7,500 Sign on Bonus**

Case Managers at Cal Rehab have an average case load of 15-20 patients, caseload may vary based on experience and ability. Our Case Managers help with discharge planning and work with an interdisciplinary team. Patient at Cal Rehab have a high discharge to home rate. 

Benefits of working as a Case Manager with us:

• Excellent Orientation Program
• Paid Time Off (PTO)
• Extended Illness Days (EID)
• Medical, Dental, and Vision Insurance
• Prescription Coverage
• Life Insurance
• Short and long term disability
• 401(k) Retirement Plan with company match
• Tuition Reimbursement
• A network of over 50,000 employees with huge growth and relocation opportunities

Position Summary

The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans.  The Case Manager, assesses the social work needs of the patient and provides social work intervention as part of the discharge planning process. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer/Referral Management. 

Responsibilities

• Clinical Interventions/Discharge and Care Planning Management: Responsible for functioning as the liaison among all parties involved with the patient both within the hospital and in the community as it relates to the development and implementation of a safe and appropriate discharge plan. The Case Manager participates as part of the interdisciplinary team developing, implementing, reviewing and revising the interdisciplinary plan of care.
• Fiscal Management: Assures responsiveness to payer systems by maintaining ongoing communication and serving as the primary contact for all external payer sources, in turn generating revenue, enhancing reimbursement, minimizing financial risk and assuring payment for the hospital. Maintains a thorough understanding of insurance coverage and benefits, providing interpretation to patients/families of their insurance and providing patient advocacy as needed.
• Payer/Referral Management: Identifies and fulfills the requirements and needs of payer and referral sources, overseeing negotiations of continued stay rationale, length of stays, and appeals process. Initiates activities to develop positive business relationships with payers and referral sources in order to promote repeat business and represent the hospital as a quality institution.
• Carries a patient caseload.
• Coordinates with other departments, i.e.: Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management outcomes for the patient.
• Is responsible for developing and maintaining effective interdisciplinary working relationships with other clinical treatment team members, i.e.: medical, psychology, nursing, therapy, therapeutic recreation, vocational and dietary, in order to assure clinical outcomes that are appropriate, cost-effective, and beneficial to the patient.

Minimum Qualifications

• Current licensure in a clinical discipline per state guidelines (RN, LCSW preferred).
• Previous experience in Case Management and Discharge Planning preferred.
• CCM Certification Preferred. 

 Equal Opportunity Employer, including Disabled/Veterans