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Quality Consultant, Case Management - IRFFranklin, Tennessee

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Job # 408066 Date posted 05/04/2021

Description

Kindred Healthcare is recruiting for a Case Management Consultant to support our Inpatient Rehabilitation Hospitals. This is a remote position with approximately 75% travel required.

JOB SUMMARY:

The Case Management (CM) Consultant will support hospitals with case management needs and may be required to cover a caseload onsite and/or to provide education and training onsite and/or via distance learning methods.

The CM Consultant will be responsible for:

  • Assisting the Senior Director of Case Management with the development of case management department goals, objectives, standards of performance and policies and procedures.
  • Reviewing case management workflows and processes and providing support and assistance with the daily functions and responsibilities of the case management department.
  • Consulting with and advising case managers and lead case managers on the hospital operations.
  • Auditing and educating case management staff to help ensure compliance with legal, organizational, regulatory and professional standards of care.
  • Establishing, directing, and implementing the CMSA standards of practice
  • Covering a caseload including admission, team conference, care coordination, discharge planning and insurance reviews.
  • Promoting the company’s mission, vision, values and culture

ESSENTIAL FUNCTIONS:

  • Audits and assesses the case management department’s performance with care coordination including discharge planning, patient safety and efforts to reduce the likelihood of unplanned hospital readmissions and improve care coordination.
  • Demonstrates knowledge of case management staffing and caseloads
  • Covers a caseload as needed depending upon hospital need.
  • Provides training and education to case managers via onsite training and/or via distance learning methods to provide new hire, onboarding, competency and other orientation and/or ongoing training needs.
  • Provides training on EMR systems with follow up audits to ensure accuracy with documentation protocols.
  • Reviews Case Management metrics eg: CMG LOS, DC to the Community, CM KPIs, etc. for opportunity and provides education as needed.
  • Reviews patient satisfaction scores relevant to discharge planning in order to continually improve performance and outcomes
  • May participate in the interviewing, hiring, evaluating, orientation and performance evaluations of staff in the case management department
  • Completes chart audits as assigned to ensure compliance with required case management documentation including documentation timeliness, IM from Medicare delivery, patient engagement in discharge planning, patient preferences/choice, advance directives discussed with patient, team conference, and other required documentation.  
  • Completes chart audits to ensure insurance reviews are documented per process.
  • Works directly with hospital leadership to identify and address case management department needs.
  • Other duties as assigned.

SKILLS:

  • Must have excellent communication skills and work well with all levels of the organization demonstrating respect at all times.
  • Must be a team player
  • Knowledge of UDS, Pinpoint, Meditech and Microsoft applications
  • Demonstrated ability to provide insurance updates and engage with payers and providers in the event of an appeal.
  • Able to communicate effectively in English, both verbally and in writing.
  • Preferred experience with live presentations and staff development.

Qualifications

  • Registered Nurse or Social Worker with at least 2 years of experience in a case management role with Kindred Rehabilitation Services
  • Case Management certification preferred
  • Excellent oral and written communication and interpersonal skills.
  • Must be self-directed and have superior time management skills
  • Travel 75% of time

Depending on candidate’s qualifications, this position may be filled at a different level. 

If you are a current Kindred/RehabCare employee Click Here.

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Current Kindred Healthcare employees apply here.

  • Benefits and Recognition

    Benefits & Recognition Our goal is to offer valuable compensation and incentive programs that enables us to attract, reward, retain, and motivate highly qualified individuals. Compensation can include bonus plans and recognition for going above & beyond.

  • Healthcare

    Healthcare We offer a variety of Health Savings Account (HSA) and PPO plan options.

  • 401(k) Plan

    401(k) Plan Employees can contribute pre-tax dollars through payroll deduction.

  • Paid Time Off

    Paid Time Off Your work/life balance is important to us. We offer our employees a flexible Paid Time Off program.

  • Wellness Program

    Wellness Program We offer tools, resources and support for weight loss, stress reduction, smoking cessation and making overall healthier choices.

  • Community

    Community Community involvement is consistent with our company's principles and with our mission of customer service and quality care.

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You have high standards. So do we. Find your future with Kindred, the nation’s largest specialty hospital company. A career here will allow you to learn, thrive and grow in a positive and supportive environment where your input matters. Join us and see all that you can accomplish when you combine your talent, skills and dedication with a highly successful and compassionate healthcare leader.

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Nursing excellence practiced here. Kindred is the nation’s largest specialty hospital company, and our nurses are a big reason why. Here, you’ll engage our patients and their families by providing the skill, comfort and compassionate care needed for the best possible outcomes and reducing lengths of stay and unnecessary re-hospitalizations. Join our dedicated staff and gain valuable experience as you learn, grow and thrive in a positive and empowering environment.

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Rehabilitation is the key to everything we do. And our caring, compassionate therapists are proud to lead the way. As one of the largest providers of rehabilitation therapy in the country, we’ve been managing rehab for more than 30 years. Whether you are a physical, occupational or speech-language therapist, we have opportunities that allow you to provide exceptional care in an environment committed to career growth and continual learning and support.

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