We are looking for a Registered Nurse Case Manager to enhance the quality of patient management, maximize satisfaction and promote cost effectiveness. Case manger will obtain insurance authorization, responsible for facilitating interdisciplinary plans and assuring progress reports are completed and provided to payor as required; Also serves as liaison between care team members, and payor, by coordinating, monitoring, and communicating patient’s progress. Negotiates appropriate level of care within contract terms with the payor case manager.
The successful candidate will be accountable for the full patient care cycle in several skilled nursing facilities. Case manager duties include assessing, planning, implementing, monitoring and evaluating actions to ensure all patients are covered financially and clinically throughout the length of their stay.
Responsibilities
- Coordinate and ensure that the SNFs are providing care that is safe, timely, effective, efficient, equitable, and client-centered
- Facilitate multiple care aspects (case coordination, information sharing, etc.)
- Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options
- Develop effective working relations and cooperate with medical team throughout the entire case management process
- Act as liaison between nursing homes staff and insurance case managers
Skills
- Proven working experience in case management or other nursing home/insurance duties, including as a registered nurse, medical, health care manager or a related job in a SNF such as BOM or Admissions Coordinator.
- Excellent knowledge of case management principles, healthcare management and reimbursement
- Fast paced environment
- Effective communication skills
- Excellent organizational and time management skills
- Problem solving skills and ability to multi-task
Note: This job description is intended to provide a general overview of the position. Duties, responsibilities, and requirements may be subject to change based on organizational needs.
Job Type: Full-time
Pay: From $25.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Schedule:
Experience:
- Nursing Home: 3 years (Required)
- Case management: 3 years (Required)
- SNF: 3 years (Required)
License/Certification:
Work Location: Remote
