Case Manager - Paramount, United States - Meadow Creek Post-Acute

Mark Lane

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Mark Lane

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Description
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 noncontracted 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 clientcentered
  • 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 precertification case management experience is preferred.

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