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Lifepoint Health®

Senior Case Manager- Full Time, Inpatient

Lifepoint Health®, Tampa, Florida, us, 33646

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Senior Case Manager - Full Time, Inpatient Facility Name: Tampa General Rehabilitation Hospital

Schedule: Full Time

Tampa General Rehabilitation Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Manager, you are embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

Overview This is a full-time inpatient Case Manager role at Tampa General Rehabilitation Hospital. The position supports discharge planning, utilization review, and coordination across nursing, therapy and other departments to ensure high-quality, patient-centered care and safe discharge planning consistent with CMS requirements.

Responsibilities

Completes departmental orientation, initial and annual competencies.

Assists with departmental performance improvement initiatives, collecting and reporting data as requested by supervisor.

Consults with other departmental staff to collaborate in patient care delivery, identify barriers to care or discharge, and develop solutions.

Completes documentation per workflow timelines and content requirements, including the Individual Plan of Care (IPoC) per CMS guidelines.

Schedules family conferences and communicates with caregivers after each team conference, keeping patient and caregiver informed of progress and discharge plans.

Coordinates weekly patient care team conferences to develop, monitor and refine treatment plans to achieve patient goals.

Reviews the patient’s CMG and helps identify potential missed comorbid conditions; communicates findings to the HIM team.

Communicates effectively with nursing, therapy and other ancillary departments to ensure proper utilization.

Participates as the facility representative for national CM Conference calls and communicates new information to facility CMs.

Assists with concurrent and retrospective utilization review activities including denials and appeals; collaborates with physicians on peer review with payer medical directors when indicated.

Ensures clinical updates are provided to all insurance payers when due and all payer communications are documented in Meditech.

Coordinates discharge planning needs including home health services, follow-up care, durable medical equipment, medical supplies, outpatient therapy, hospice, and other care services; ensures a safe, thorough discharge plan and patient choice is documented as per CMS Conditions of Participation for Discharge Planning.

Identifies trends that impact quality, cost effectiveness, patient experience and delivery of care; brings to departmental leadership meetings for discussion and action.

Performs intake assessment within 24 to 72 hours of admission (preferably within 48 hours).

Performs follow-up assessments per Case Management Plan and/or hospital policy.

Demonstrates ability to be flexible, organized and function under stressful situations.

Other duties as assigned.

Why join us

Comprehensive Benefits: Medical, dental and vision options, with plans starting at a low upfront cost and tailored options for part-time and PRN employees.

Financial & Career Growth: Tuition assistance, loan assistance, 401(k) with company match.

Employee Well-being: Mental, physical, and financial wellness programs.

Professional Development: Ongoing learning and career advancement opportunities.

What We're Looking For

Current Registered Nurse or Social Work licensure or healthcare professional licensure as Respiratory Therapist, Physical Therapist, Speech Language Pathologist or Occupational Therapist.

Certification in Case Management or Rehabilitation Nursing preferred (e.g., CCM, ARN, ACM, or ANCC RN-BC).

Minimum of 2 years social work or case management experience in an inpatient setting; acute/rehabilitation hospital experience preferred.

Effective oral and written communication skills in English; additional languages preferred.

Basic computer skills (Excel, Word, Outlook, PowerPoint) required.

Strong organizational, time management and analytical abilities; ability to work independently and as part of a team.

Confidentiality and ethical practice adherence.

Knowledge of reimbursement benefits and requirements including Medicare, Medicaid and managed care is required.

Connect with a Recruiter Not ready to complete an application, or have questions? Please contact Fomeika Ingram by emailing fomeika.ingram@lifepointhealth.net.

EEOC Statement Tampa General Rehabilitation Hospital is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum.

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