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Case Manager – Acute Rehabilitation Center
St. Luke's University Health NetworkCase Manager coordinating acute rehabilitation patients’ coverage, care transitions, and discharge planning. Supporting patients and families across St.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management, discharge planning, and psychosocial assessment within a rehabilitation setting. Proficient in coordinating care services, facilitating authorizations, and maintaining compliance with healthcare regulations.
Highest-signal resume keywords
Case ManagementDischarge PlanningPsychosocial AssessmentClinical Record MaintenanceCare Coordination
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementDischarge PlanningClinical DocumentationAuthorization FacilitationConcurrent ReviewsRetro AuthorizationsPre-CertificationsPatient EducationInterdisciplinary CollaborationAssessment of Psychosocial Barriers
Soft Skills
CommunicationCollaborationProblem-SolvingEmpathyInterpersonal Skills
Tools & Technologies
Clinical Record SystemsDocumentation Systems
Certifications & Qualifications
MSWRNBSN (Preferred)
Industry Keywords
HealthcareRehabilitation HospitalMedicareCARFJCAHOPatient RightsCommunity Resources
About the role
Key responsibilities & impact- Provide comprehensive case management for patients admitted to the inpatient acute rehabilitation unit from admission through discharge
- Secure coverage through continued-stay reviews, retro authorizations, pre-certifications, and other authorization efforts
- Assess, plan, implement, coordinate, and evaluate health and community services addressing patients’ physical, psychosocial, vocational, and health needs
- Perform admission reviews and identify psychosocial barriers, interventions, and discharge-planning needs
- Conduct ongoing discharge-planning assessments, mitigate barriers, and facilitate safe, timely, efficient discharges
- Collaborate with patients, families, caregivers, and interdisciplinary teams to design individualized discharge plans
- Maintain contact with patients and families at least three times weekly
- Participate in daily interdisciplinary stand-up meetings and weekly interdisciplinary team meetings
- Arrange community, state, and federal services and durable medical equipment before discharge
- Provide assistance with medical paperwork and educate patients and families about diagnosis, treatment, adaptation, discharge plans, and life situations
- Collaborate with outpatient Care Managers for handover and post-discharge follow-up
- Serve as a resource to staff regarding coverage issues, discharge options, community resources, regulatory issues, and psychosocial processes
- Educate patients about patient choice, medical treatment, advance directives, and related rights
- Maintain timely clinical records documenting patient contacts, reviews, interventions, recommendations, and referrals
Requirements
What you’ll need- MSW, RN, or master’s degree in a related field of physical, occupational, or speech therapy
- BSN preferred for RN candidates
- At least two to five years of clinical experience in healthcare preferred, preferably in a rehabilitation hospital
- Knowledge of care management and discharge planning
- Ability to assess psychosocial barriers and coordinate discharge services
- Ability to facilitate authorizations, pre-certifications, concurrent reviews, and retro authorizations
- Ability to maintain clinical records according to hospital policy and Medicare, CARF, and JCAHO guidelines
- Ability to communicate with patients, families, caregivers, and interdisciplinary teams
- Ability to use documentation and clinical record systems
- Ability to meet the stated physical and sensory requirements, including sitting, standing, walking, writing, typing, and lifting up to 10 pounds
- Application must use full legal name and current home address
- Employment history for the past seven years, including present employer, must be provided
Benefits
Comp & perks- Equal Opportunity Employer
- Employment at a large integrated nonprofit health network
- Access to a network of 16 campuses and 350+ outpatient sites