Care Manager - Social Worker/LSW/LCSW/CRRN - GPS Care Management

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Job description

By joining our team, you'll be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, 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.

Job Description Summary

The Global Patient Services Care Manager will coordinate clinical care for specialized populations, including International Patients, Military Patients, Injured Workers, and other individuals with unique rehabilitation needs. In addition to clinical responsibilities, GPS Care Managers support access, referral relations and marketing efforts to insure program growth, efficient throughput and Quality Improvement Efforts.

The Global Patient Services Care Manager will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

The Global Patient Services Care Manager will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, and Commitment to Excellence) while fulfilling job duties.

Job Description

The Global Patient Services Care Manager:

• Provides single point of contact for special populations including Military, International, and Worker's Compensation patients, families, external Case Managers, referral sources and payers to ensure access to services and ongoing communication throughout treatment.

• Provides concierge services that address medical requirements, cultural nuances, language barriers, visa requests, orientation, family support and other unique needs associated with travel from other regions/countries.

• Leads treatment planning to ensure that unique needs, including return to work goals, embassy requirements, international discharges, LOS, home modifications, and life-care planning are addressed.

• Manages external Case Management, Claims Adjuster, Medical Attaché, and Embassy communication, keeping referral and payer representatives informed of patient progress and ongoing needs.

• Secures pre-authorizations, embassy approvals, and letters of compensability prior to admission.

• Works with Patient Financial Services and Managed Care to negotiate self-pay agreements, payer pay discounts and single-case agreements with third parties.

• Manages and disseminates information on local housing, air ambulances, ground transportation and other travel resources for out of state families.

• Coordinates interpreter/translation services for International Patients.

• Coordinates care with external providers/partners (including NMH, CMH, UCMC & private physician groups) to ensure a smooth transition.

• Participates in quality improvements in individual, team and program performance.

• Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

Reporting Relationships

Reports directly to the Director, Global Patient Services

Knowledge, Skills & Abilities Required

• Master's degree for Social Workers or CRRN for Nurses.

• Current Illinois license.

• Minimum 2 years of progressively responsible related clinical work experience with diagnostic program population.

• Experience with International, Worker's Compensation, Military Populations preferred.

• Professional knowledge of practice and supervision

• Interpersonal skills sufficient to provide effective communication with patients, families and staff.

• Sophisticated conflict mediation/negotiation/consensus building skills.

• Highly developed referral relations skills and refined ability to promote RIC services to external customers.

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

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Equal Employment Opportunity

ShirleyRyan AbilityLab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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