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.
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.