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Fox Hollow Post Acute is seeking a remote Case Manager to utilize clinical expertise and critical thinking to develop care plans for residents while managing costs and resources. The ideal candidate should have a background in nursing or social work, with experience in clinical settings and knowledge of Medicare and Medicaid programs.
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Job Summary
Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.
Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols, and answer residents’ questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care.
Perform utilization review activities to provide resident appropriate, timely and cost-effective care and coordinate care with resident, care providers, facilities financial services, and third-party payers.
Matching Summary
Match Score: 75
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Fox Hollow Post Acute is seeking a remote Case Manager to utilize clinical expertise and critical thinking to develop care plans for residents while managing costs and resources. The ideal candidate should have a background in nursing or social work, with experience in clinical settings and knowledge of Medicare and Medicaid programs.
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Skills & Requirements
Must-have
utilize clinical expertise
critical thinking skills
develop and implement plan of care
communicate regularly with residents
monitor and adjust residents' statuses
coordinate care with providers
oversee admissions and discharge
intermediate computer skills
Nice-to-have
relate positively and effectively
maintain professional interactions
exercise sound judgement
Key Requirements
Bachelor’s Degree in Nursing or Social Work
Registered Nurse (RN) license preferred
Licensed (LVN or LPN) nurse acceptable
Two (2) years of clinical nursing experience
Knowledge of Medicare, Medi-cal and Medicaid programs
PCC Knowledge preferred
Certificate as a certified Case Manager (CCM) a plus
Must maintain all required continuing education/licensing
Must remain in good standing with the Department of Public Health