Director of Care Coordination / Social Worker
About The Position
Diversicare is seeking a Director of Care Coordination to lead care coordination and ensure care resources align with patient needs, benefits, and service standards. The role includes leading the restorative nursing program, facilitating care coordination and admission meetings, and supporting effective communication with patients and families about changes in condition and discharge planning. The Director collaborates with the clinical team on care plans, discharge arrangements, and post-discharge communication, and oversees skilled-care documentation in accordance with Medicare and Managed Care guidelines.
Requirements
- Degree in nursing, therapy, or another related clinical field, such as social services, and a current license in the respective field.
- Knowledge of healthcare reimbursement, utilization management, and discharge planning.
- Experience providing strategic leadership, managing teams, and leading projects.
- Ability to formulate and implement short- and long-term strategic plans.
- Strong verbal, written, and interpersonal skills.
- Proven ability to lead a team to achieve desired outcomes.
- Strong communication and organizational skills.
- Knowledge of PDPM requirements of insurers.
- Understanding of regulatory requirements.
Nice To Haves
- Previous case management experience.
Responsibilities
- Facilitate daily care coordination meetings to align care resources with patient needs and benefits.
- Participate in and facilitate Engage/72 HR Admission meetings as part of the care management system.
- Manage the restorative nursing program and integrate it with the activity department.
- Communicate timely with patients and families regarding changes in condition and discharge planning.
- Collaborate with the clinical team to develop and execute care plans.
- Coordinate discharge planning and post-discharge communication, including home health and DME.
- Monitor Quality Measures with the care coordination team.
- Ensure accurate and timely completion of skilled-care documentation in accordance with Medicare and Managed Care regulatory guidelines.
- Review Additional Documentation Requests (ADRs) to ensure all requested documents are provided.
Benefits
- Medical, dental, and vision coverage.
- 401(k) plan.
- Tuition reimbursement.
- Vacation, holiday, and sick time.
- Long- and short-term disability.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
Associate degree
