Case Manager - In Patient Rehabilitation - Magee

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Job Description

JOB SUMMARY: The individual in this position is responsible for assessing, planning, implementing evaluating and documenting the management of selected and assigned group of patients requiring inpatient rehabilitation in the following age groups; adolescents, adult and geriatric. This care will be delivered in accordance with established standards. This includes working with physicians and other individuals from multi-disciplines to customize the rehabilitation program for inpatients, monitoring their progress relative to the guidelines for rehabilitation. Key duties include multi-disciplinary management of care, collaboration with the disciplines in providing patient/family teaching, patient/family support and counseling, continuous quality improvement, discharge planning and placement and securing appropriate resources at the time of discharge for all rehabilitation patients.

Manages the length of stay for inpatients needing rehabilitation utilizing multi-disciplinary practices, collaborative approaches with the physicians and program directors and socio-economic/clinical approaches within established policies and practices.

Directs multi-disciplinary patient care conferences utilizing functional independence measurement and CMS guidelines through multi-disciplinary discussion and intervention.

Directs and coordinates pre-admission and concurrent family conferences as necessary.

Assess needs for patients and family through multi-disciplinary input. Collaboratively designs an inpatient rehabilitation program to best fit the patients and families long term needs through timely interventions and education.

Proactively adjusts the rehabilitation program to meet the needs of the patient to meet established guidelines of rehabilitation therapy. Identifies situations of continuous quality improvement to enhance patient outcomes, assuring appropriate levels of care for the patient within the system and unit specific financial targets as appropriate.

Assists with concurrent reviews for inpatients promoting rehabilitation benefit as appropriate.

Prepares the patient, family and other team member for discharge placement assuring that the patient and others, if appropriate, have resources available or secured upon discharge.

Promotes rehabilitation throughout the continuum of care. Promotes inpatient rehabilitation programs and services to external customers and referral resources.

Actively participates in organization-wide care continuum approaches to patient care management.

Follows all CARF, Federal, Joint Commission and documentation processes and regulations.

Actively serves on ad hoc committees as necessary.

Review for approval all requests for charity care funding of equipment or services, assuring that this is the resource of last resort.

Education : Masters in Social Work

Licensure : PA Social Work license preferred. If not licensed at time of hire, candidate agrees to obtain LSW within 6 months of employment date.

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Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.