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Case Manager

Case Manager

Job ID 
2017-6959
# of Openings 
1
Job Locations 
US-CA-Morgan Hill
Facility 
Pacific Hills Manor
Posted Date 
9/12/2017
Category 
Nursing

More information about this job

Overview

Do you enjoy serving residents and having relationships with their families?

 

Do you take pride in knowing you are providing top quality care to your patients?

 

Do you want to work at an organization that values treating all people with dignity and respect?

 

Pacific Hills Manor in Morgan Hill, CA is looking for an experienced Case Manager to be part of our team. If you answered “yes” to the questions above we want to meet with you today! We are Families serving Families and our nurses are a valued piece of that vision.

 

This position is to work on a Full Time basis.  

 

Covenant Care Green Text Logo

 

 

We are a member of Covenant Care, and our “family” includes over 8,500 professionals in 7 states running 53 skilled nursing facilities, 4 residential care facilities, a therapy services company, and a home health company.  Managing risk has been critical to our success in the dynamic long-term care industry.  We have a strong commitment to providing our residents with excellent care and service in a pleasant, comfortable setting.

 

Covenant Care is an equal opportunity employer.

 


 

POSITION SUMMARY:  The primary purpose of the Case Manager is to develop, implement, and evaluate individualized patient care plans that maximize reimburesment to the facility under the various payer programs while providing outstanding quality care to the residents. 

 


 

 KEY JOB FUNCTION:

  • Manage the care provided to achieve expected clinical outcomes and customer satisfaction by ensuring that appropriate nursing, therapy and approved ancillary (pharmacy and laboratory) services are provided.

  • Effectively liaison to balance patient's needs and expectations with managed care provider's expectations.

  • Upon admission initiates and coordinates necessary education required by the resident and caregivers to achieve discharge.

  • Ensure discharge plan is understood and acceptable at admission to patient and to managed care provider.

  • Negotiate adequate reimbursement to facility for 'exception' cases to facilitate provision of proper service delivery.

  • Provide timely, accurate and complete documentation in form required by managed care company.

Minimum Requirements

  • Must be licensed RN or LVN/LPN or BSW.
  • Must have at least 2 years clinical experience in a long term care setting.
  • Must be knowledgeable of nursing and medical practices and procedures, as well as law, regulations, and guidelines that pertain to long-term care.
  • Must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
  • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

Preferred Requirements

  • Prefer 5 years of clinical experience.