Resident Care Manager

PACS

4d • $45 - $52

About The Position

The Resident Care Manager uses clinical expertise and critical-thinking skills to collaborate 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 extraordinary care while remaining sensitive to costs and available resources.

The position coordinates resident care, treatment, admissions, discharges, referrals, and utilization review. It also involves clinical assessments, care planning, and coordination of medical services when required. The work is primarily sedentary, with frequent sitting, computer use, and documentation, as well as regular walking throughout the facility. The work environment is usually low to moderate in noise level.

Requirements

• A licensed nurse; an LVN or LPN is acceptable.
• Knowledge of Medicare, Medi-Cal, and Medicaid programs and benefits.
• Maintain all required continuing education and licensing.
• Remain in good standing with the Department of Public Health, License and Certification Division.
• Ability to relate positively, effectively, and appropriately with residents, families, staff, and professional colleagues.
• Accurate charting and timely completion of necessary paperwork.
• Ability to work independently and exercise sound judgment.
• Effective communication skills and ability to promote cooperation and collaboration among involved parties.
• Excellent time-management skills and ability to organize work in a high-volume environment with rapidly changing priorities.
• Intermediate computer skills.
• Ability to maintain professional, respectful, and honest interactions with residents, families, staff, and partners.

Nice To Haves

• Bachelor’s Degree in Nursing (RN license preferred).
• Two years of clinical nursing experience preferred.
• PCC knowledge preferred.

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 care, treatment plans, illness progression, and other issues to help them feel safe and secure.
• 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 the area(s) of responsibility.
• Complete required documentation.
• Perform utilization review activities to provide appropriate, timely, and cost-effective resident 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.
• Relate positively, effectively, and appropriately with residents, families, staff, and professional colleagues.
• Maintain accurate charts and complete necessary paperwork in a timely manner.
• 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.
• Develop organized work processes in a high-volume environment with rapidly changing priorities.
• Perform clinical assessments, care planning, and direct coordination of medical services when required by the role.

Benefits

• Medical, dental, and vision coverage with low monthly premium payments for employees and dependents.
• 401(k) plan with employer match.
• Paid vacation accrual of 4 hours per month; stated annual vacation amounts are 48 hours for full-time employees and 40 hours for part-time employees.
• Recurring paid sick-day hours prorated based on hire date.
• Seven paid holidays each year.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level