CASE MANAGER
RN OR LPN
EXCITING opportunity exists for an experienced long term care Nurse Case Manager at Boulder Manor Health Care Center,
SUMMARY
Coordinates and monitors the assessment, treatment planning process and follow up process for each resident / patient with the IDT, to ensure the provision of quality care in an efficient manner. Manages resources for ancillary and routine services from admission through discharge for each resident to meet established goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
· Coordinates the oversight of delivery of services based on level of care, intent of stay and prior level of function. May include facilitation of patient review meetings and / or chart reviews
· Coordinates Resident Assessment & Planning Tools
· Provides periodic assessment and summaries to insurers for continued authorization of care.
· Communicates with external Case Managers for Managed Care & commercial customers.
· Ensures documentation supports level of care, MDS & RUG.
· Ensures appropriate rate negotiations from point of admission & during stay.
· Completes required forms and documents in accordance with company policy and state and/or federal regulations.
ENTRY QUALIFICATIONS
· Graduate of an accredited School of Nursing.
· Valid State licensure as an LPN, LVN, or RN.