Utilization review activities for cost-effective care
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that balance extraordinary patient care with cost sensitivity
Job Summary
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that balance extraordinary patient care with cost sensitivity.
Employees must regularly communicate with residents, families, and healthcare providers regarding treatment protocols while monitoring and adjusting resident statuses based on changing needs.
The position involves overseeing all admissions and discharge activities while coordinating referrals and ensuring accurate documentation in a fast-paced environment.
Matching Summary
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that balance extraordinary patient care with cost sensitivity.
Skills & Requirements
Must-have
Critical thinking skills for care coordination
Regular communication with residents and families
Utilization review activities for cost-effective care
Oversee admissions and discharge activities
Accurate charting and timely paperwork completion
Nice-to-have
Compassionate professional demeanor
Excellent time management in high-volume environment
Positive interactions with diverse stakeholders
Sound judgment in physician interactions
Ability to work independently
Key Requirements
Bachelor's Degree in Social Work, Human Services, Nursing, or related field
Prior experience in healthcare, case management, or social services
Knowledge of Medicare, Medi-Cal, and Medicaid programs
Familiarity with PointClickCare or other EMR systems preferred
Certified Case Manager (CCM) certificate is a plus