RN Case Manager - Whittier Rehabilitation Hospital Haverhill TCU

Whittier Rehabilitation Hospital - Bradford/Haverhill

Case Manager/Discharge Planner

20 Bed Transitional Care/Skilled Nursing Unit

Full-Time, 40 hours/week

Must be licensed in the State of Massachusetts

• To oversee and coordinate each patient's hospital stay beginning with admission through discharge.
• Work with all members of the interdisciplinary care team to identify goals, address barriers to discharge and ensure patient receives the optimum rehabilitation services in the most efficient manner.
• Provide the patient and family information about the rehabilitation process, levels of care, and patient rights/responsibilities.
• Work within the confines of CMS guidelines and/or Managed Care expectations, able to advocate for patients when possible.
• Ensure patient is provided with appropriate resources befitting next level of care setting (e.g., list of skilled nurse facilities, available home health agencies, etc.).
• Maintain appropriate patient and family contact regarding patient progress towards goals, care team discussions, as well as continual review of discharge planning efforts to ensure a safe and timely discharge plan is in place.
• Address disposition changes in timely manner, remaining proactive in anticipating patient's discharge needs.

• Registered Nurse with 2-5 years acute care case management experience.
• Excellent communication (written and verbal), interpersonal and organizational skills.
• Ability to assess, analyze, plan, implement and evaluate plan of care.
• Basic knowledge of CMS guidelines, Managed Care products, and criteria for inpatient rehab vs. long-term acute hospital admission.

• 401(k)
• Paid Sick, Vacation, Holiday
• Medical, Dental, Vision
• Life and Disability policies
• Accident, Hospital and Critical Illness