Job Description Summary
The Care Manager will communicate with internal clinical team and third party payor to assess, develop, coordinate, advocate, and monitor a care plan that utilizes the patient's available resources in the most appropriate and cost effective manner. Responsible for the overall knowledge of the patient's plan of care, goals and objectives to ensure a smooth transition throughout the continuum.
The Care Manager will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.
The Care Manager will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, and Commitment to Excellence) while fulfilling job duties.
Job Description
The Care Manager:
- Serves as the liaison for the clinical team for pre-admission clinical and financial information.
- Evaluates assessment information, assigns patients to the appropriate clinical path, and monitors in conjunction with the physician and the clinical team.
- Disseminates pertinent family dynamics to the team.
- Coordinates patient care by facilitating clinical team conferences, overseeing the ordering of patient durable medical equipment (DME) and supplies, and ensuring completion of treatment plan.
- Monitors patient and family goal attainment relative to the interdisciplinary treatment goals and addresses the appropriateness of the level of care with the clinical team conferences.
- Initiates and maintains communication with external case managers, referring primary care physician and acts as a resource regarding available services at the Shirley Ryan AbilityLab System.
- Initiates and maintains communication with external case managers and primary care physicians to obtain pre-authorization for ongoing rehabilitation needs and advocate for the patient to receive appropriate rehabilitation services. Communicates in the format defined by the third party payor.
- Negotiates any conflict arising with a third party payor representative on behalf of the patient and Institute during their rehabilitation program.
- Participates in planning, development and execution of Shirley Ryan AbilityLab sponsored educational programs and presentations to external physicians, clinical staff, acute care facilities, insurance groups, managed care organizations, corporations, and other appropriate groups.
- Performs all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.
Reports to:
- Reports directly to the Director, IP Care Coordination and Resource Utilization
Knowledge, Skills & Abilities Required
- Nursing care managers must have a Bachelor’s in Nursing and 2 years of experience in rehabilitation nursing. CRRN certification strongly preferred.
- Social work care managers must hold an MSW.
- Illinois license or certification in one's own profession.
- Analytical ability.
- Knowledgeable in community resources, health care system and interdisciplinary functioning.
- Interpersonal communication and advocacy skills are required to work with patients and families, and various medical professionals within and outside of the Institute.
- Capable of learning and utilizing PC software to collect and analyze data and prepare and aggregate reports.
Working Conditions
- Normal office environment with little or no exposure to dust or extreme temperature.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Pay and Benefits*:
Pay Range:
$67,000.00 - $118,000.00
Benefits:
Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: https://www.sralab.org/benefits
*Benefits and benefits’ eligibility can vary by position. Actual compensation will be determined by equity and qualifications of the role.
