Case Manager/Discharge Planner

National Health Care Associates • Bethel, CT

1d

About The Position

- A Great Place to Work Bethel is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - What You'll Do: As a Case Manager, your advocacy will ensure our short-term, skilled nursing patients are medically stable with a safe discharge plan to promote success in the community and limit readmissions. Key Responsibilities: Advocate for residents' rights and preferences Review clinical documentation to define expectations, criteria, and variables that will impact the care plan and outcomes Collaborate with treatment team to create a patient-centered case of medical necessity and rationale for skilled nursing coverage Provide rationale and supporting documentation regarding continuum of care to promote best practice outcomes and patient-centered discharge planning Develop and maintain relationships with insurance representatives and facilitate managed care team meetings If you are a compassionate and organized healthcare professional with a passion for ensuring positive patient outcomes, consider joining our team as a Case Manager! Make a real difference in people's lives in an organization where your expertise and dedication are valued and appreciated. - What We Offer As an affiliate of National Health Care, our Bethel team enjoys: NEW! 10% discount on full-time child care for children ages 6 weeks to 6 years at Honey Tree Preschool & Childcare Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Case Manager include: Valid state RN or LPN license preferred; LICSW, encourgaed to apply Knowledge and understanding of Managed Care Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Experience in skilled nursing facilities, clinical reimbursement, concurrent review and/or utilization management is desirable Experience/knowledge of Medicare guidelines, InterQual and/or McKesson Excellent communication and interpersonal abilities Must be proficient with Microsoft Office 365 Ability to work effectively in a multidisciplinary team environment - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

Requirements

• Valid state RN or LPN license preferred; LICSW, encourgaed to apply
• Knowledge and understanding of Managed Care
• Interest in the nursing needs of the aged and the chronically ill with the ability to work with both
• Experience in skilled nursing facilities, clinical reimbursement, concurrent review and/or utilization management is desirable
• Experience/knowledge of Medicare guidelines, InterQual and/or McKesson
• Excellent communication and interpersonal abilities
• Must be proficient with Microsoft Office 365
• Ability to work effectively in a multidisciplinary team environment

Nice To Haves

• Experience in skilled nursing facilities, clinical reimbursement, concurrent review and/or utilization management is desirable

Responsibilities

• Advocate for residents' rights and preferences
• Review clinical documentation to define expectations, criteria, and variables that will impact the care plan and outcomes
• Collaborate with treatment team to create a patient-centered case of medical necessity and rationale for skilled nursing coverage
• Provide rationale and supporting documentation regarding continuum of care to promote best practice outcomes and patient-centered discharge planning
• Develop and maintain relationships with insurance representatives and facilitate managed care team meetings

Benefits

• NEW! 10% discount on full-time child care for children ages 6 weeks to 6 years at Honey Tree Preschool & Childcare
• Competitive compensation and benefits package including a 10% defined contribution retirement plan
• Comprehensive training and mentorship
• Opportunities for professional growth and development
• Supportive and collaborative work environment
• The chance to make a meaningful difference in the lives of our residents

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees