UAB Medical West Hospital
CASE MANAGER-MSW | REHAB SERVICES
UAB Medical West Hospital, Mc Calla, Alabama, United States, 35111
Job Overview
The Case Manager for the Inpatient Rehabilitation Unit is responsible for the coordination and delivery of services to patients and families/caregivers within the limits of the financial resources of the patient. The Case Manager will act as a liaison to the payor source assuring cost effectiveness of treatment provided by the rehabilitation team; facilitates and coordinates the discharge planning process; serves as a patient and family advocate to coordinate and direct effective communications regarding the patient’s care; subject to call back as required.
Qualifications
Licensed Social Worker (Alabama State Board of Social Workers) or Registered Nurse (Alabama State Board of Nursing).
One to two years of case management/social work experience in acute care, rehabilitation, or workers compensation settings.
Minimum BLS certification required; must be obtained within 30 days of hire and renewed per BLS guidelines.
Responsibilities
Provides case management services to all assigned patients and their families to ensure appropriate treatment, benefit utilization, and discharge planning.
Tracks length of stay to ensure timely discharges, initiates appeals processes per policies, and extends length of stay when appropriate.
Investigates insurance resources availability and maximizes them.
Functions as a liaison to referral sources and payors to insure effective communication regarding preliminary plan of care, progress toward program goals, and expected discharge plans.
Coordinates IRF team conference/staffing meetings weekly and reports to external review parties.
Schedules clients for outside appointments and coordinates medical care as directed by physician, completing appropriate paperwork.
Maintains weekly contact with families to facilitate involvement, appraise progress, coordinate discharge planning and investigate funding issues.
Ensures quality, timeliness and confidentiality of medical records documentation.
Participates in departmental meetings, in‑service education, and professional affiliations to enhance professional growth and stay current with case management practices.
Communicates with the Business Services Department regarding pre‑certification, continued stay reviews, and additional insurance coverage.
Negotiates, orders and arranges delivery of services, equipment and supplies during client stay and discharge alone or with therapy services.
Facilitates and coordinates discharge planning and serves as patient and family advocate.
Acts as liaison to payor source to assure cost effectiveness of rehabilitation team treatment.
Contributes to positive work climate and overall department teamwork.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Other
Hospitals and Health Care
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Qualifications
Licensed Social Worker (Alabama State Board of Social Workers) or Registered Nurse (Alabama State Board of Nursing).
One to two years of case management/social work experience in acute care, rehabilitation, or workers compensation settings.
Minimum BLS certification required; must be obtained within 30 days of hire and renewed per BLS guidelines.
Responsibilities
Provides case management services to all assigned patients and their families to ensure appropriate treatment, benefit utilization, and discharge planning.
Tracks length of stay to ensure timely discharges, initiates appeals processes per policies, and extends length of stay when appropriate.
Investigates insurance resources availability and maximizes them.
Functions as a liaison to referral sources and payors to insure effective communication regarding preliminary plan of care, progress toward program goals, and expected discharge plans.
Coordinates IRF team conference/staffing meetings weekly and reports to external review parties.
Schedules clients for outside appointments and coordinates medical care as directed by physician, completing appropriate paperwork.
Maintains weekly contact with families to facilitate involvement, appraise progress, coordinate discharge planning and investigate funding issues.
Ensures quality, timeliness and confidentiality of medical records documentation.
Participates in departmental meetings, in‑service education, and professional affiliations to enhance professional growth and stay current with case management practices.
Communicates with the Business Services Department regarding pre‑certification, continued stay reviews, and additional insurance coverage.
Negotiates, orders and arranges delivery of services, equipment and supplies during client stay and discharge alone or with therapy services.
Facilitates and coordinates discharge planning and serves as patient and family advocate.
Acts as liaison to payor source to assure cost effectiveness of rehabilitation team treatment.
Contributes to positive work climate and overall department teamwork.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Other
Hospitals and Health Care
#J-18808-Ljbffr