Case Manager (Licensed) - FT - S

PACS•San Diego, CA

1d•Onsite

About The Position

Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.

Requirements

Bachelor’s Degree in Nursing or Social Work.
Licensed (LVN or LPN) nurse acceptable.
Knowledge of Medicare, Medi-cal and Medicaid programs and benefits.
Must maintain all required continuing education/licensing.
Must remain in good standing with the Department of Public Health, License and Certification Division at all times.

Nice To Haves

Registered Nurse (RN) license preferred.
Two (2) years of clinical nursing experience preferred.
PCC Knowledge preferred.
Certificate as a certified Case Manager (CCM) a plus.

Responsibilities

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols.
Attends and participates in morning meetings/stand up to facilitate communications with the team.
Answer residents’ questions about their care, treatment plans, illness progression and all other issues so 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 the area(s) of responsibility.
Complete documentation as required.
Performs utilization review activities to provide resident appropriate, timely and cost-effective care.
Coordinate care with resident, care providers, facilities financial services, and third-party payers.
Oversee all admissions and discharge activities.
Coordinate referrals both to and from our facility.
Ability to relate positively, effectively, and appropriately with residents, families, staff and professionals colleagues.
Accurate charting and ability to complete necessary paperwork in a timely manner.
Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families.
Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
Intermediate computer skills.
Competence in maintaining professional, respectful, honest interactions with residents/families and staff and partners.
Perform clinical assessments, care planning, and direct coordination of medical services when required by the role