Case Manager (RN/LVN)

We are currently seeking a dedicated and compassionate case manager to join our team in Meadow creek Post Acute. As a case manager, you will play a crucial role in providing comprehensive care coordination and management for patients. Your exceptional organizational skills and ability to collaborate with a multidisciplinary team will contribute to the delivery of high-quality healthcare services. If you are passionate about making a difference in patients' lives and thrive in a fast-paced environment, we encourage you to apply.

Specific duties include, but are not limited to

• Negotiates appropriate level of care within contract terms with the payor case manager; Utilizes “Out of Contract Pricing Worksheet” for non-contracted arrangements.
• Communicates information to care team and coordinates patient's smooth transition to the next level of care.
• Obtains accurate information from physicians, patient, and payor source regarding the expected discharge plan and communicates this information to the interdisciplinary team
• Develops referrals from hospitals' social service and discharge planning departments, physicians, case managers, insurance companies and other referral sources
• Participates in Marketing Action Plan and Key Account Meetings and assumes Key Account Management responsibilities as directed by their supervisor.
• Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered
• Handle case assignments, review case progress and determine case closure
• Help clients achieve wellness and autonomy
• Facilitate multiple care aspects (case coordination, information sharing, etc)
• Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options
• Develop effective working relations and cooperate with medical team throughout the entire case management process
• Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction
• Record cases information, complete accurately all necessary forms
• Help with staffing if necessary
• Ensure that daily skilled documentation is in place for skilled patients.
• Works collaboratively with Rehab, MDS Coordinator, Business Office, Admissions, ADONs and DONs.
• Conduct PPS/Skilled Kaiser Meetings as scheduled.
• Prepares and updates MCR/ Skilled Tracking Sheet

Qualifications

• Must be a graduate of an accredited school of nursing; BSN degree preferred.
• Valid RN /LVN license in the state of California
• BS degree in related healthcare field
• 2 years of medical, clinical, concurrent review or pre-certification case management experience is preferred.