Care Manager - Social Worker/ LSW/ LCSW/ Care - IP Care Management - Full time

Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you’ll be part of our life-changing mission and vision. You’ll contribute to an innovative, multifaceted culture that is second to none — one that embraces collaboration, excellence, discovery and compassion. You’ll play a role in something that’s never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together.

• Serves as the liaison for the clinical team for pre-admission clinical and financial information.
• Evaluates assessment information, assigns patients to the appropriate clinical path, and monitors in conjunction with the physician and the clinical team.
• Disseminates pertinent family dynamics to the team.
• Coordinates patient care by facilitating clinical team conferences, overseeing the ordering of patient durable medical equipment (DME) and supplies, and ensuring completion of treatment plan.
• Monitors patient and family goal attainment relative to the interdisciplinary treatment goals and addresses the appropriateness of the level of care with the clinical team conferences.
• Initiates and maintains communication with external case managers, referring primary care physician and acts as a resource regarding available services at the Shirley Ryan AbilityLab System.
• Initiates and maintains communication with external case managers and primary care physicians to obtain pre-authorization for ongoing rehabilitation needs and advocate for the patient to receive appropriate rehabilitation services. Communicates in the format defined by the third party payor.
• Negotiates any conflict arising with a third party payor representative on behalf of the patient and Institute during their rehabilitation program.
• Participates in planning, development and execution of Shirley Ryan AbilityLab sponsored educational programs and presentations to external physicians, clinical staff, acute care facilities, insurance groups, managed care organizations, corporations, and other appropriate groups.
• Performs all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

• Reports directly to the Director, IP Care Coordination and Resource Utilization

• Nursing care managers must have a Bachelor’s in Nursing and 2 years of experience in rehabilitation nursing. CRRN certification strongly preferred.
• Social work care managers must hold an MSW.
• Illinois license or certification in one's own profession.
• Analytical ability.
• Knowledgeable in community resources, health care system and interdisciplinary functioning.
• Interpersonal communication and advocacy skills are required to work with patients and families, and various medical professionals within and outside of the Institute.
• Capable of learning and utilizing PC software to collect and analyze data and prepare and aggregate reports.

• Normal office environment with little or no exposure to dust or extreme temperature.