Monitor and adjust resident statuses based on needs
Coordinate care with providers and payers
The role requires regular communication with residents and their families regarding Plans of Care and treatment protocols to ensure safety and security
Job Summary
The role requires regular communication with residents and their families regarding Plans of Care and treatment protocols to ensure safety and security.
Responsibilities include organizing daily work by assessing the needs of new, current, and discharging residents while performing utilization review activities.
The position demands accurate charting, adherence to Medicare/Medicaid knowledge, and the ability to coordinate referrals between facilities and third-party payers.
Matching Summary
The role requires regular communication with residents and their families regarding Plans of Care and treatment protocols to ensure safety and security.
Skills & Requirements
Must-have
Regular communication with residents and families
Monitor and adjust resident statuses based on needs
Coordinate care with providers and payers
Oversee admissions and discharge activities
Accurate charting and timely paperwork completion
Nice-to-have
Ability to work independently with sound judgement
Excellent time management in high volume environment
Positive and effective relationship building skills
Intermediate computer skills proficiency
Key Requirements
Bachelor's Degree in Nursing or Social Work
Valid RN, LVN, or LPN license
Two years clinical nursing experience preferred
Knowledge of Medicare, Medi-Cal, and Medicaid programs
Certificate as a certified Case Manager (CCM) is a plus