Utilization review activities for cost-effective care
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while managing costs
Job Summary
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while managing costs.
Employees must regularly communicate with residents, families, and healthcare providers to ensure safety and address treatment protocols effectively.
The position involves overseeing all admission and discharge activities while coordinating referrals and maintaining accurate documentation in a fast-paced setting.
Matching Summary
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while managing costs.
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
Ability to work independently with sound judgment
Positive interactions with diverse stakeholders
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 similar EMR systems preferred
Certified Case Manager (CCM) certificate is a plus