Case Manager - Skilled Nursing Facility

Healthcare Services  is a family company providing healthcare services including skilled nursing, assisted living and senior living communities.

Compensation & Benefits: 

• As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need. 
• Pay is market competitive and negotiable based on your experience. 
• Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans.
• Full-time employees will be eligible for Tuition Assistance.
• 401K.

The anticipated pay range for candidates who will work in California is $40.00 to $47.00 hourly . The offered pay to a successful candidate will be dependent on several factors that may include but are not limited to years of experience within the job, years of experience within the required industry, education, etc.

Essential Duties:

• Accepts inquiries and conducts pre-admission reviews of potential patients in a timely manner.
• Documents all pertinent information received during the inquiry process and communicates with other appropriate staff for admission decisions.
• Obtains prior authorization and continued authorizations for placement and treatment of managed care patients.
• Determines the current and future care options for assigned patients and the estimated cost of each option.
• Monitors ongoing treatment plans of assigned patients and communicates with payors to insure appropriate reimbursement.
• Initiates and follows through with discharge planning to insure discharge to appropriate level of care in a timely manner using information obtained from interdisciplinary team and attending physician.
• Communicates with business office staff regarding rates, exclusions, changes in level of care for managed care patients.
• Monitors patient needs and managed care authorized services to insure efficient use of available resources
• Monitors daily all HMO/managed care residents for care needs and physician orders relating to same. Requests and receives level changes throughout resident's stay as appropriate.

Qualifications:

• One year experience as Case Manager or Admissions Coordinator
• RN, LVN, BSW or other clinical/medical educational background
• Case Manager certifications preferred
• Knowledge of health insurance and managed care issues
• Marketing experience preferred
• Knowledge of rehabilitation and sub-acute care coverage

Submit your application and join our award-winning team!

We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance.

INDHP