The Rehabilitation Hospital of Wisconsin (RHOW) is a state-of-the-art, 40-bed Inpatient Acute Rehabilitation Hospital that is dedicated to restoring lives. We are a result of the joint venture partnership between ProHealth Care and Kindred Healthcare to meet the growing rehabilitation needs of the region.
RHOW specializes in treating patients with many diagnoses, including, but not limited to, stroke, brain injury, amputation, neurological and cardiac disorders. In 2016, RHOW received Joint Commission Disease Specific Specialization in Stroke and Amputee Rehabilitation. The Commission on Accreditation of Rehabilitation Facilities (CARF) granted RHOW accreditation in 2020 in Stroke, Amputee, and General Rehab.
This position requires working some weekends.
Coordinates management of care for a specified patient population in a single hospital; follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation, and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning.
Performs intake assessment on patient within 24 to 72 hours of admission.
Performs follow-up assessments per Case Management Plan and/or hospital policy.
Utilizes patient care in collaboration with all members of the healthcare team. Active participant in patient and family conferences.
Keeps patient and designated family member/responsible person informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge. Functions as a patient/family advocate.
Assists with the utilization management function.
Orders and arranges for home care equipment, follow up care and healthcare needs following rehabilitation stay.
Works with third party payers to validate need for patient care and home care environment needs.
Educates patient and family on all aspects of patient's hospitalization and continuing care.
Reviews patient care activities for occurrences and trends that affect the quality, cost effectiveness and delivery of services. Assures that the outcome of review is appropriately maintained in the computer database.
Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, insurance carriers and the leadership team.
Demonstrates an ability to be flexible, organized and function under stressful situations.
Consults other departments, as appropriate, to collaborate in patient care and performance improvement activities. Collaborates with other departments to identify operational problems and develop solutions/resolution.
Follows state and federal requirements regarding discharge planning.
Documentation meets current standards and policies.
Responsible for discharge planning; assures patient returned from hospital to safe environment.
Maintains optimal continuum of patient care through efficient and effective planning, assessing and coordination of healthcare services.
Healthcare professional licensure as Registered Nurse, LPN, Respiratory Therapist, Physical Therapist, Occupational Therapist or Social Worker.
Appropriate certification in Case Management preferred; for example, Commission for Case Manager Certification (CCMC); Association of Rehabilitation Nurses (ARN) certification.
Three years clinical experience preferred.
Prefer experience in Case Management, Quality Management, Utilization Review, or discharge planning.
Job : Case Mgmt/MDS Primary Location : WI-Waukesha-Wisconsin Rehab Organization : 4083 - Wisconsin Rehab Shift : Day