Skilled Nursing Case Manager Shea Post Acute - 4.0 Scottsdale, AZ Job Details Part-time | Full-time $20 - $28 an hour 1 day ago Benefits Health savings account Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance 401(k) matching Employee discount Flexible schedule Life insurance Qualifications Long-term care regulations Medicare Managing patients as a nurse case manager Medicare regulations Centers for Medicare and Medicaid Services (CMS) Computer skills Full Job Description Shea Post Acute Rehabilitation Center is looking to hire a full time or part time Monday-Friday case manager to join our amazing team of clinical professionals. Pay is based on license, credentials, and experience.
Requirements:
Must have at least 1 year of case management experience Must be self-driven and able to work/multitask in a fast paced environment Must have excellent computer skills and be a self-starter Must be able to read through various forms of medical documentation in a timely manner Detailed oriented person with excellent written and oral communication skills Must be able to follow Medicare guidelines accordingly Responsibilities and duties include but are not limited to: Facilitating and communicating discharge planning for skilled residents and ensuring resident safety throughout the process Makes determination of the need for continued home health care services by reviewing documentation submitted by providers in accordance with Medicare guidelines. Maintains accurate records of authorizations and communication with providers and payer plans pertaining to authorization for all patients. Assists provider staff and team members in identifying patient needs and coordinating care. Assists provider staff and team members in efficient and cost-effective utilization of health care resources and monitors patient progress and outcomes. Facilitates communication and provides ongoing customer service support to payer plan case managers, patients and provider staff and team members. Prepares and submits any required status or summary reports in a timely manner. Collaborate with residents, families and staff to develop a comprehensive resident care program Provide case management services to sub-acute/post acute care to residents. Communicate changes in resident's condition Perform other administrative duties such as: completing medical forms, reports, evaluations, studies, charting, etc. Admit, transfer, and discharge residents as required Make rounds to assess quality of care performance, assuring quality service. Maintain records on residents' progress in accordance with State and Federal regulations. Interpret the department's policies and procedures to employees, residents, visitors, government agencies etc. as necessary. Care Plan Assessment Functions Develop preliminary and comprehensive assessments of the needs of each resident. Encourage the resident/family to participate in the development and review of the resident's plan of care Assist in the scheduling of care plans and assessments to be presented and discussed at each committee director of Nursing Services Ensure that the care plan identifies any special equipment and utensils the resident may need (E.g., plate guard, enlarged silverware handles, etc.) Review and reviews care plans and assessments as necessary, but at least quarterly. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's comprehensive plan of care. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current statues of the complaint. Are you ready to discover a world of limitless possibilities that comes with being a member of our Ensign culture? Explore more about this opportunity and how you can help us write a new chapter in our story of providing exceptional care and making a positive impact in the lives of everyone we serve.
Job Types:
Full-time, Part-time Pay:
$20.00 - $28.00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Health insurance Health savings account Life insurance Paid time off Vision insurance
Experience:
Case Management :
1 year (Preferred)
License/Certification:
RN or LPN License (Preferred) Fingerprint Clearance Card (Required)