Manager Case Management & Social Work, FT Days - Case Management

Location
Rockville, MD
Posted
Apr 06, 2019
Closes
Jul 24, 2019
Ref
R-4464
Industry
Healthcare
Hours
Full Time
Under general direction, provides administrative management and direction to the Case Management/Social Work/ Utilization Review department. Establishes goals, objectives and
standards of performance. Develops and implements operating policies and procedures; interprets and ensures compliance with policies, quality standards, regulations, established by Rehabilitation as they relate to Case Management and Utilization Review based on LOS, final rule, and BOOST initiatives.

Includes handling a 16 patient case load, scheduling team meetings, follow up with insurance companies on extending a patient's stay which requires writing clinicals to obtain authorization. Also handle discharge planning, and coordinate the patient's care with a multidisciplinary team.
The manager must be familiar with CMS regulatory requirements for acute rehabilitation, IRF-PAI data collection, clinical skills to assist other Case Managers with determining medical necessity for continued stay, and opportunities to decrease 30 day readmission rates.

Qualifications:
Inpatient rehabilitation or acute care case management experience
Licensed as a social worker or preferably a registered nurse

Work Schedule:

Works 5 days per week

Tobacco Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine use.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine). Those testing positive for cotinine are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

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