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Case Manager II

Job Description

The Case Manager II (CM II) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient’s rehabilitation experience. The CM II coordinates and advocates for the patient during their hospitalization and from pre-admission to post-discharge. As an effective communicator, the CM II manages information to effectively oversee health care delivery and facilitate interdisciplinary plan of care decisions. The CM II facilitates timely communication regarding the patient’s care, and establishes and monitors the discharge plan implementation while identifying and addressing patient’s psychosocial and support systems issues. The Case Manager II oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations, and total fiscal management. The CM II performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The case manager assures that regulations regarding patient’s rights are fulfilled.

 

Job code: 100679

 


 

 

License or Certification:

• Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).

• If licensure is required for one’s discipline within the state, individual must hold an active license. 

• Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years of entry into the position.

• CCM® or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position.

Minimum Qualifications:

• For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an Associate Degree. 

• For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor’s degree and graduate degree is preferred. 

• 2 years of rehabilitation experience preferred. 

Machines, Equipment Used:

• General office equipment such as computer/laptop, telephone, copy/fax machine, calculator, scanner, etc.

• Microsoft Office software, to include Outlook, Word, and Excel.

 

Skills and Abilities: 

• Oral communication, written communication, fluency in English, active listening.

• Information ordering, deductive reasoning, social perceptiveness, time management, critical thinking.

• Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.

• Ability to work independently without continuous supervision.

Environmental Conditions:

• Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure. 

• Exposure or potential exposure to blood and body fluids may be required. 

• Handicapped accessible.

• May work under stressful circumstances at times.

Proficiency or Productivity Standards: 

• Has regular, reliable, and predictable attendance and punctuality.

• Adheres to dress code including wearing ID badge.

• Adheres to Standards of Business Conduct.

• May be required to work weekdays and/or weekends, evenings and/or night shifts if needed to meet deadlines.

• May be required to work on religious and/or legal holidays on scheduled days/shifts.

• Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster. 

• May be required to perform other duties as assigned by supervisor.

• This position will support cultural diversity by promoting and maintaining an inclusive work environment and culture that is respectful and accepting of diversity.

 



Address: 4399 Nob Hill Road, Sunrise 33351
Shift: Day Job
Schedule: Full-time
Job ID: 2218953