Case Manager for LTACH

General Summary: The Case Manager coordinates and manages services provided to each patient to establish a focused, individualized program geared towards specific goals unique to that patient. Acts as a liaison for patients, families, and staff, overseeing day-to-day operations of all care provided to ensure successful patient outcomes. The Case Manager is actively involved in department activities, transdisciplinary team activities, and

LifeCare activities to ensure individualized, patient-centered health care for all patient populations admitted to LifeCare Hospital.

Patient Population: Has contact with patients in a clinical setting; understands and demonstrates appropriate behavior when interacting with patients in the adult (18-65 yrs of age) and geriatric (65 and older) populations.

Supervision: Does not direct or supervise the functions of the department.

Standard Essential Functions

• The knowledge and skills necessary to perform the position requirements are demonstrated through the successful completion of competencies established for the position, to include population served and other special needs of patients or customers, served by the department.
• Adheres to LifeCare policies, procedures, all safety plans, and all standards imposed by regulatory organizations.
• Regular attendance and timeliness is required.
  
  

Job-Specific Essential Functions

• Enables the patient’s program to proceed in an orderly, purposeful, and goal-directed manner through daily contact with the patient and family, attending patient staffings and weekly team meetings, monitoring patient progress, and re-evaluating goals.
• Documents in patient chart and completes patient progress reports indicating problems, progress, treatment, and goals in a clear, concise manner.
• Strives to direct all patient care and transdisciplinary efforts towards a maximum level of self-care for each patient.
• Encourages the participation of the family and patient on an ongoing basis in discussion of plans, goals, status, etc. by directing patient and family at family/team conferences and through daily communication.
• Facilitates the exit/discharge process and arrangements for follow-up and appropriate supportive services.
• Performs psychosocial evaluations, counseling, and gathers information related to the patients’ current and ongoing overall status from patient, family, and medical documentation.
  
  

Values

• We COLLABORATE: We develop our treatment plans in collaboration with physicians, clinicians, and patient's families.
• We ADVOCATE: We advocate on behalf of every patient and family.
• We RESPECT: We recognize and value the dignity, rights, and resources of each patient.
• We PROVIDE: We provide complex medical care with purpose and compassion.
• We SERVE: We serve as a TEAM with integrity at all levels focused on achieving the best possible outcomes for our patients.