Looking for a qualified Case Manager to join our family!
RN/LPN Preferred
If you are a
Case Manager that has business acumen, is team-oriented, driven, and excited about the opportunity to build a culture, then we have the perfect opportunity for you!
Benefits
- Pay rate: Competitive pay, along with holiday pay and paid time off (PTO) program.
- Phone and auto discounts: Up to 20% on employee personal wireless accounts and auto rentals through designated vendors.
- Health insurance for the entire family!
Major Responsibilities
- As Case Manager, you are responsible for monitoring and documenting the cost effectiveness of treatment provided, facilitates and coordinates the admission and discharge process, serves as the resident family advocate and acts as a liaison to insurance and management professionals. N
- Participate in the admission process including pre-admission assessment, rate negotiations, benefit verification, care needs and reporting.
- Communicate resident status, change in function and care plan either by phone or written report to payers.
- Include payer representative in interdisciplinary meeting if requested or deemed necessary to promote payer/provider relationship.
- Document all payer interactions regarding resident progress, expected outcomes and reporting capabilities including special instructions.
- Ensures thorough and timely communication with managed care/insurance case managers to coordinate certification and concurrent stay programs.
- Assist with the completion of the MDS for managed care patients.
- Provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results as well as the development of a successful management team.
Qualifications
- Must have one of teh following nurisng license RN or LPN.
- Must have, as a minimum, three (3) years' experience in a hospital, nursing care facility, or other related health care facility.
- Must have training in rehabilitative and restorative nursing practices.
- Must have a working knowledge of managed care rules, regulations, and guidelines.
- Must have knowledge of managed care and PPS systems.
- You must be qualified, compassionate, and dedicated to a job well done.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
