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 service with cost sensitivity
Job Summary
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that balance extraordinary patient service with cost sensitivity.
Essential duties include regularly communicating treatment protocols to residents and families while monitoring status changes and adjusting care plans accordingly.
Candidates must be able to organize daily work priorities across new, current, and discharging residents in a fast-paced facility environment.
Matching Summary
The role requires utilizing critical thinking and care coordination expertise to develop plans of care that balance extraordinary patient service with cost sensitivity.
Salary
Not specified; Not specified; Not specified
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 documentation 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
Intermediate computer skills for EMR systems
Key Requirements
Bachelor's Degree in Social Work, 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 electronic medical records
Certified Case Manager (CCM) certification is a plus