Case Manager - PT

PACS•Escondido, CA

About The Position

The Case Manager uses critical thinking and care coordination expertise to work collaboratively with residents, their families or significant others, healthcare providers, insurers, community resources, and other involved parties. The role develops and implements plans of care that provide exceptional care while being sensitive to costs and resources. The position coordinates care, utilization review, admissions, discharges, and referrals. It communicates with residents and families about plans of care and treatment, monitors residents’ changing needs, maintains documentation, and collaborates with clinical and administrative partners. The role requires sound independent judgment, effective communication, organization, and time management in a fast-paced environment. The position has no supervisory responsibilities. A bachelor’s degree in Social Work, Human Services, Nursing, or a related field is preferred, and non-licensed candidates are accepted. Prior experience in healthcare, case management, or social services is strongly preferred.

Requirements

Bachelor’s degree in Social Work, Human Services, Nursing, or a related field preferred; non-licensed candidates accepted.
Prior experience in healthcare, case management, or social services strongly preferred.
Knowledge of Medicare, Medi-Cal, and Medicaid programs and benefits.
Strong communication skills, including the ability to read and comprehend policy and procedure manuals and present information effectively to residents, families, and staff.
Ability to organize, prioritize, and manage multiple tasks in a fast-paced environment.
Compassionate, professional demeanor and commitment to resident-centered care.
Ability to read technical procedures and policy and procedure manuals, and respond to questions from managers and employees.
Ability to apply fractions, percentages, ratios, and proportions to practical situations.
Ability to solve practical problems and interpret written, oral, diagrammatic, or scheduled instructions.
Primarily sedentary work with frequent sitting, computer use, and documentation; regular walking throughout the facility; occasional standing; and ability to lift and carry up to 20 pounds.
Clear verbal communication and vision for chart review and resident interaction.

Nice To Haves

Familiarity with PCC (PointClickCare) or other electronic medical record systems.
Certificate as a Certified Case Manager (CCM).

Responsibilities

Communicate regularly with residents and their families about plans of care, physical therapy, occupational therapy, and other treatment protocols.
Attend and participate in morning meetings or stand-ups to facilitate communication with the team.
Answer residents’ questions about their care, treatment plans, illness progression, and other issues.
Monitor and adjust residents’ statuses based on changing needs and conditions.
Organize and prioritize daily work by assessing the needs of new, current, and discharging residents in areas of responsibility.
Complete required documentation.
Perform utilization review activities to provide appropriate, timely, and cost-effective care.
Coordinate care with residents, care providers, facility financial services, and third-party payers.
Oversee admissions and discharge activities.
Coordinate referrals to and from the facility.
Maintain positive, effective, and appropriate relationships with residents, families, staff, and professional colleagues.
Ensure accurate charting and timely completion of necessary paperwork.
Work independently and exercise sound judgment in interactions with physicians, providers, payers, residents, and families.
Communicate effectively and promote cooperation and collaboration among residents, families, caretakers, physicians, nurses, and other ancillary partners.
Use strong time-management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
Use intermediate computer skills.
Maintain professional, respectful, and honest interactions with residents, families, staff, and partners.