Registered Nurse RN Rehab Case Manager (Full Time/Days)

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

LOCATION: Suburban Outpatient Pavilion Lancaster, PA

HOURS: Full Time (32 hours per week). Monday-Friday (8:30am-5pm). 

POSITION 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: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• 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.

SECONDARY FUNCTIONS: 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.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• Current RN license, issued by the PA Board of Nursing required

• Bachelor’s degree in Nursing (BSN) or a related health care degree or equivalent combination of education and experience required.  BSN preferred.

• Certification in Case Management required within 1 to 2 years of hire.

• One (1) to three (3) years of clinical rehab OR neuro experience.

• AHA CPR/BLS Certification required within 30 days of hire.

PREFERRED QUALIFICATIONS:

• Prior outpatient case management experience.

• Certification as a Registered Rehabilitation Nurse.

• Three (3) to five (5) years of rehab case management experience

• Experience and knowledge of managed care and insurance as they relate to rehabilitation services.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.