The role requires utilizing clinical expertise to develop and implement plans of care that balance extraordinary patient service with cost sensitivity
Job Summary
The role requires utilizing clinical expertise to develop and implement plans of care that balance extraordinary patient service with cost sensitivity.
Employees must coordinate care across residents, families, healthcare providers, insurers, and third-party payers while managing admissions and discharges.
The position involves performing utilization reviews to ensure timely, appropriate, and cost-effective care for all residents.
Matching Summary
The role requires utilizing clinical expertise to develop and implement plans of care that balance extraordinary patient service with cost sensitivity.
Skills & Requirements
Must-have
Bachelor's Degree in Nursing or Social Work
Coordinate care with providers and payers
Perform utilization review activities
Manage admissions and discharge activities
Conduct clinical assessments and care planning
Nice-to-have
Excellent time management skills
Ability to work independently
Positive interaction with families
Intermediate computer skills
Key Requirements
Bachelor's Degree in Nursing or Social Work
Registered Nurse (RN) license preferred
Licensed LVN or LPN acceptable
Two years of clinical nursing experience preferred
Knowledge of Medicare, Medi-cal, and Medicaid programs