Outpatient Rehab Case Manager RN (Part Time/Day Shift)

LOCATION: Lancaster, PA - Suburban Outpatient Pavilion 

HOURS: Part Time (32 hours per week). Monday, Tuesday, Thursday, Friday (8am-4:30pm). No weekends. 

Summary:

Provide supportive Neurological Day Rehabilitation Program N.D.R.P. and outpatient rehabilitation case management that fosters effective, efficient and timely therapy services. Functions as the communication link for the coordination of care among the multidisciplinary rehab team, patients, families and payers in order to facilitate continuity of care. Provide ongoing assessment of individual treatment plans to ensure that the best possible outcomes are achieved. Patient customer care includes nursing care for patient in the Neurological Day Rehab Program and case management services to outpatients customers in the following age groups: pediatric 30 days through 12 years , adolescent 13 through 18 years , adult 19 through 64 years , and geriatric 65 years and above.

Essential Functions:

• Provides Nursing Services to patients in the N.D.R.P. requiring medical interventions such as vital signs, glucose and self-medication monitoring; assists in implementation of bowel and bladder program when applicable.
• Assists in the coordination of medical services for patients in the N.D.R.P. such as lab and diagnostic appointments and physician follow-up appointments.
• Assist in the development of a system to collect and aggregate pertinent data to measure patient outcomes with corrective action planning.
• Evaluate the effectiveness of progress toward patient outcomes by determining the influences of the prescribed treatment plan, the practices of the team members, the hospital systems, environment, and the cooperation of the patient and family.
• Provide clinical consultation and education for members of the multidisciplinary interdisciplinary team related to expected patient outcomes and resource availability.
• Collaborate with both the inpatient, N.D.R.P. and outpatient rehab teams in achieving patient care outcomes that promote the rehab continuum of care. Act as the primary contact for coordination of N.D.R.P. and outpatient rehabilitation services.
• Design, implement, and evaluate systems and processes to support managed care and case management activities that address the special needs of a designated patient population.
• Communicate with insurance case managers and insurance representatives to provide them with information regarding patient outcomes, program development, and system changes through verbal and written communication.
• Provide education to a variety of audiences, including insurance managed care companies, physicians, internal external referral sources, patients and families by providing formal and informal presentations, direct contact, and written communication.
• Participate in staff development activities and peer review activities to identify practice opportunities to enhance patient outcomes.
• Attend weekly multidiscipline team and family conferences and performs follow-up case management activities as necessary.
• Assist office and therapy staff in obtaining insurance authorizations for continued therapy services, necessary equipment, orthotics, prosthetics and other supplies through written and verbal communication with insurance representatives and managed care companies.
• Provide supportive case management services to facilitate obtaining consults for patients such as dietary, infectious disease, vocational, enterostomal, services, lab studies, VNA services, venous stasis studies, and other community-based services as requested by the treating therapist, and or the patient’s physician.
• The following duties are considered secondary to the primary duties listed above:
• Research educational information to update professional and patient literature on current healthcare trends, resources and legislative changes.
• Increase communication and develop relationships with various community resources such as OVR, Office of Aging, and UCP to remain updated on their programs and referral processes.
• Identify professional needs to maintain expertise and to keep current with healthcare trends and practices within the rehabilitation nursing profession and the case management specialty.