About The Position

This position involves communicating regularly with residents and their families about Plans of Care, PT, OT, and other treatment protocols. The role requires attending and participating in morning meetings/stand-ups to facilitate team communication, answering residents' questions about their care, treatment plans, and illness progression to ensure they feel safe and secure. The position also involves monitoring and adjusting resident statuses based on changing needs and conditions, organizing and prioritizing daily work by assessing the needs of new, current, and discharging residents, and completing required documentation. The role performs utilization review activities to ensure resident-appropriate, timely, and cost-effective care, coordinates care with residents, care providers, financial services, and third-party payers, and oversees all admissions and discharge activities. Additionally, it involves coordinating referrals to and from the facility, maintaining positive and effective interactions with residents, families, staff, and professional colleagues, and ensuring accurate charting and timely completion of necessary paperwork. The ability to work independently, exercise sound judgment, and effectively communicate and promote cooperation among various individuals including physicians, providers, payers, residents, families, caretakers, nurses, and ancillary partners is essential. Excellent time management skills are required to develop organized work processes in a high-volume environment with rapidly changing priorities. Intermediate computer skills and competence in maintaining professional, respectful, and honest interactions are also necessary.

Requirements

  • Bachelor’s Degree in Nursing or Social Work.
  • Registered Nurse (RN) license preferred.
  • Licensed (LVN or LPN) nurse acceptable.
  • Two (2) year clinical nursing experience preferred.
  • Knowledge of Medicare, Medi cal and Medicaid programs and benefits.
  • PCC Knowledge
  • Ability to read technical procedures.
  • Ability to read and comprehend policy and procedure manuals.
  • Ability to effectively present information and respond to questions from managers and employees.
  • Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
  • Ability to solve practical problems.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • LVN/LPN Valid License or RN Valid Licensee in the state you are working.
  • 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.
  • Intermediate computer skills.

Nice To Haves

  • 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.
  • Attend and participate 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 resident’s statuses based on changing needs and conditions.
  • Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility.
  • Complete documentation as required.
  • Perform 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.
  • Relate positively, effectively, and appropriately with residents, families, staff and professional colleagues.
  • Ensure accurate charting and ability to complete necessary paperwork in a timely manner.
  • Work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families.
  • Effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners.
  • Develop organized work processes in a high volume environment with rapidly changing priorities.
  • Maintain professional, respectful, honest interactions with residents/families and staff and partners.
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