Case Manager

General Purpose: The primary purpose of the Case Manager position is to utilize clinical expertise and critical thinking skills to work collaboratively with residents, their families, healthcare providers, insurers, community resources, and other involved parties. The goal is to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources

Essential Duties:

• Communicate regularly with residents and their families about Plans of Care, Physical Therapy (PT), Occupational Therapy (OT), and other treatment protocols
• Attend and participate in morning meetings/stand-ups to facilitate communications with the team
• Answer residents’ questions about their care, treatment plans, illness progression, and other issues to ensure they feel safe and secure in our care
• Monitor and adjust residents’ statuses based on changing needs and conditions
• Organize and prioritize daily work by assessing new, current, and discharging residents' needs in areas of responsibility
• Complete documentation as required
• Perform utilization review activities to provide residents with appropriate, timely, and cost-effective care
• Coordinate care with residents, care providers, facilities' financial services, and third-party payers
• Oversee all admissions and discharge activities
• Coordinate referrals both to and from our facility
• Relate positively, effectively, and appropriately with residents, families, staff, and professional colleagues
• Ensure accurate charting and complete necessary paperwork in a timely manner
• Work independently and exercise sound judgment in interactions with physicians, providers, payers, and residents and their families

Qualifications:

• Associate or Bachelor’s Degree in Nursing or a related field is preferred but not required
• A minimum of 3 years’ experience in healthcare or case management
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
• Ability to write reports, business correspondence, and procedure manuals
• Ability to effectively present information and respond to questions from managers and employees
• Mathematical skills to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists

Physical Demands and Work Environment:

• The employee must occasionally lift and/or move up to 25 pounds
• Prolonged use of a desktop or laptop computer
• Regularly required to sit, stand, walk, talk, read, or hear
• Frequent use of office-related equipment, including copier/scanner/fax, telephone, and calculator
• Travel by auto or airline may be required
• The work environment is usually low to moderate noise level