Job Description

Job Summary:

Case Manager/Case Finder utilizes clinical expertise, discretion, and independent judgment in assessing, providing, coordinating and monitoring healthcare services for all assigned patients. Ensures medical appropriateness criteria (medical necessity) met for level of care provided in the acute and sub-acute units and documented from admission through discharge including re-admissions. Coordinates and participates in patient discharge teaching as appropriate.

The Case Manager/Case Finder acts as a liaison between the patient, family members, interdisciplinary team and community to assure that services provided meet the patient’s needs are initiated and met in accordance with their plan of care and treatment. Acts as a community liaison with hospital staff, insurance companies, other payors, physicians, and other providers to inform of services offered. Participates and communicates with billing department in obtaining authorization for admissions, services provided, and outpatient services. Coordinates and participates with Marketing on any vendor marketing activity representing Totally Kids Rehabilitation Hospital.

It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support the organization strategic plan, the goals and direction of the quality assurance performance improvement process, and activities.