Job Description

Whittier Rehabilitation Hospital - Transitional Care Unit
Case Manager/Discharge Planner
Full-Time, 40 hours per week
$93,600 - $104,000 annually
Must be licensed in the State of Massachusetts

We are looking for a seasoned Case Manager (RN preferred) to provide case management for our patients in our 20 bed Transitional Care Unit housed within our Rehabilitation Hospital. This person will be part of our overall hospital Case Management team.

Primary Responsibilities:

• To oversee and coordinate each patient's TCU stay beginning with admission through discharge.
• Work with all members of the interdisciplinary care team to identify goals, address barriers to discharge and ensure patient receives the optimum rehabilitation services in the most efficient manner.
• Provide the patient and family information about the rehabilitation process, levels of care, and patient rights/responsibilities.
• Work within the confines of CMS guidelines and/or Managed Care expectations, able to advocate for patients when possible.
• Ensure patient is provided with appropriate resources befitting next level of care setting (e.g., list of skilled nurse facilities, available home health agencies, etc.).
• Maintain appropriate patient and family contact regarding patient progress towards goals, care team discussions, as well as continual review of discharge planning efforts to ensure a safe and timely discharge plan is in place.
• Address disposition changes in timely manner, remaining proactive in anticipating patient's discharge needs.

Prerequisites:

• Registered Nurse with 2-5 years acute care case management experience strongly preferred
• Excellent communication (written and verbal), interpersonal and organizational skills.
• Ability to assess, analyze, plan, implement and evaluate plan of care.
• Basic knowledge of CMS guidelines, Managed Care products, and criteria for short term SNF care

Benefits Available;

• 401(k)
• Paid vacation, sick and holiday
• Dental insurance
• Medical insurance
• Vision insurance
• Health Savings account
• Flexible spending accounts
• Life insurance and Disability policies
• Hospital, Critical Illness, Accident policies