Utilization review activities for cost-effective care
The role utilizes critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while managing costs
Job Summary
The role utilizes critical thinking and care coordination expertise to develop plans of care that provide extraordinary patient service while managing costs.
Employees are responsible for monitoring resident statuses, organizing daily work priorities, and performing utilization reviews to ensure appropriate care delivery.
The position requires strong communication skills to collaborate with residents, families, providers, and insurers while maintaining accurate documentation.
Matching Summary
The role utilizes 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 resident-centered care demeanor
Strong time management in high-volume environment
Positive interactions with professional colleagues
Ability to solve practical problems effectively
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 electronic medical record systems preferred
Certified Case Manager (CCM) certificate is a plus